| Advance North | |
|
969 S Santa Fe Ave Vista CA 92083-6910 | |
| (760) 294-1188 | |
| Not Available |
| Full Name | Advance North |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 969 S Santa Fe Ave, Vista, California |
| Authorized Official Name and Position | Jack Farmer (CAO) |
| Authorized Official Contact | 6192750822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advance North 1202 Morena Blvd Ste 100 San Diego CA 92110-3842 Ph: (619) 275-0822 | Advance North 969 S Santa Fe Ave Vista CA 92083-6910 Ph: (760) 294-1188 |
| NPI Number | 1073156626 |
|---|---|
| Provider Enumeration Date | 10/25/2019 |
| Last Update Date | 04/01/2020 |
| Certification Date | 04/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073156626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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