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3914 Murphy Canyon Rd Ste. A170 San Diego CA 92123-4491 | |
| (858) 279-6721 | |
| (858) 279-5440 |
| Full Name | |
|---|---|
| Speciality | Social Worker |
| Location | 3914 Murphy Canyon Rd, San Diego, California |
| Authorized Official Name and Position | Ron Barrett (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8582796721 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3914 Murphy Canyon Rd Ste. A170 San Diego CA 92123-4491 Ph: (858) 279-6721 | 3914 Murphy Canyon Rd Ste. A170 San Diego CA 92123-4491 Ph: (858) 279-6721 |
| NPI Number | 1912054693 |
|---|---|
| Provider Enumeration Date | 01/04/2007 |
| Last Update Date | 06/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912054693 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | LCS16343 (California) | Secondary |
| 104100000X | Social Worker | MFC41596 (California) | Primary |
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