| Alvarado Hospital, Llc | |
|
6655 Alvarado Rd San Diego CA 92120-5208 | |
| (619) 229-3090 | |
| Not Available |
| Full Name | Alvarado Hospital, Llc |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 6655 Alvarado Rd, San Diego, California |
| Authorized Official Name and Position | Christopher Doan (LEGAL COUNSEL) |
| Authorized Official Contact | 3102594706 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alvarado Hospital, Llc 6655 Alvarado Rd San Diego CA 92120-5208 Ph: (619) 229-3090 | Alvarado Hospital, Llc 6655 Alvarado Rd San Diego CA 92120-5208 Ph: (619) 229-3090 |
| NPI Number | 1437627312 |
|---|---|
| Provider Enumeration Date | 11/08/2018 |
| Last Update Date | 11/08/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437627312 | NPI | - | NPPES |
| 050757B000000 | Other | CA | SECTION 1011 |
| HSP40583I | Medicaid | CA | |
| HSP30583I | Medicaid | CA | |
| ZZZA3726Z | Other | CA | BLUE SHIELD |
| HSC30583I | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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