San Diego Foundation For Recovery is a
Clinic/center - Multi-specialty based in San Diego, California. San Diego Foundation For Recovery is licensed to practice in * (Not Available) (license number ) and their current practice location is
4241 Jutland Dr, 103, San Diego, California. It can be reached at their office (for appointments etc.) via phone at
(858) 490-3460.
NPI number for San Diego Foundation For Recovery is 1770756074 and their current mailing address is 4241 Jutland Dr, 103, San Diego, California. San Diego Foundation For Recovery
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1770756074.
Healthcare Provider's Profile
| Full Name | San Diego Foundation For Recovery |
|---|
| Type | Facility |
|---|
| Speciality | Clinic/center - Multi-specialty |
|---|
| Location | 4241 Jutland Dr, San Diego, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1770756074
- Provider Enumeration Date: 04/08/2008
- Last Update Date: 04/08/2008
Medical Identifiers
Medical identifiers for San Diego Foundation For Recovery such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770756074 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 171100000X | Acupuncturist | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QI0500X | Clinic/center - Infusion Therapy | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 261QP3300X | Clinic/center - Pain | (* (Not Available)) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Secondary |
| 261QR0800X | Clinic/center - Recovery Care | (* (Not Available)) | Secondary |
| 261QS1200X | Clinic/center - Sleep Disorder Diagnostic | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. San Diego Foundation For Recovery is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
San Diego Foundation For Recovery
4241 Jutland Dr, 103,
San Diego, CA 92117-3663
Ph: (858) 490-3460 | San Diego Foundation For Recovery
4241 Jutland Dr, 103,
San Diego, CA 92117-3663
Ph: (858) 490-3460 |
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