COUNTY OF SAN DIEGO

Exclusive Provider Organization

NPI: 1356434112Organization

Specialties, Licenses & Credentials

Exclusive Provider OrganizationPrimary

Exclusive Provider Organization

Code: 302F00000X

CCS00042F(CA)

Contact & Hours

Address: 6991 BALBOA AVENUE
SAN DIEGO, CA 92111
Phone: (858) 496-8232

Quick Facts

NPI: 1356434112
Entity Type: Organization
Medicare: Not confirmed
Specialties: 1
Locations: 1

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