| Bpsr Vista Clinic | |
|
550 W Vista Way Suite 407 Vista CA 92083-5732 | |
| (760) 758-1092 | |
| (760) 758-8481 |
| Full Name | Bpsr Vista Clinic |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 550 W Vista Way, Vista, California |
| Authorized Official Name and Position | James C Callaghan (PRESIDENT/CEO) |
| Authorized Official Contact | 8585732600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bpsr Vista Clinic 9465 Farnham St San Diego CA 92123-1308 Ph: (858) 573-2600 | Bpsr Vista Clinic 550 W Vista Way Suite 407 Vista CA 92083-5732 Ph: (760) 758-1092 |
| NPI Number | 1730221789 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 08/27/2020 |
| Certification Date | 08/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730221789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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