| Casa Pacifica | |
|
321 Cassidy St Oceanside CA 92054-5314 | |
| (760) 721-2171 | |
| (760) 721-8582 |
| Full Name | Casa Pacifica |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 321 Cassidy St, Oceanside, California |
| Authorized Official Name and Position | Bob Marchetti (CFO) |
| Authorized Official Contact | 6192750822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Casa Pacifica 321 Cassidy St Oceanside CA 92054-5314 Ph: (760) 721-2171 | Casa Pacifica 321 Cassidy St Oceanside CA 92054-5314 Ph: (760) 721-2171 |
| NPI Number | 1174746838 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 07/27/2021 |
| Certification Date | 07/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174746838 | NPI | - | NPPES |
| 37AC | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 37AC (California) | Primary |
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