| Crawford High School | |
|
4191 Colts Way San Diego CA 92115-6023 | |
| (619) 521-5720 | |
| Not Available |
| Full Name | Crawford High School |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4191 Colts Way, San Diego, California |
| Authorized Official Name and Position | Sunnyo Pak (PROGRAM DIRECTOR) |
| Authorized Official Contact | 6195215720 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crawford High School 3288 El Cajon Blvd Ste 13 San Diego CA 92104-1430 Ph: (619) 521-5720 | Crawford High School 4191 Colts Way San Diego CA 92115-6023 Ph: (619) 521-5720 |
| NPI Number | 1982140521 |
|---|---|
| Provider Enumeration Date | 01/06/2017 |
| Last Update Date | 01/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982140521 | NPI | - | NPPES |
| 8583 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (California) | Primary |
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