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4002 Vista Way Oceanside CA 92056-4506 | |
(760) 724-8411 | |
(760) 940-3362 |
Full Name | |
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Speciality | Psychiatric Unit |
Location | 4002 Vista Way, Oceanside, California |
Authorized Official Name and Position | Ray Rivas (CFO) |
Authorized Official Contact | 7609407323 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4002 Vista Way Oceanside CA 92056-4506 Ph: (760) 724-8411 | 4002 Vista Way Oceanside CA 92056-4506 Ph: (760) 724-8411 |
NPI Number | 1306392402 |
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Provider Enumeration Date | 08/29/2016 |
Last Update Date | 08/29/2016 |
Identifier | Type | State | Issuer |
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1306392402 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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273R00000X | Psychiatric Unit | 080000099 (California) | Primary |
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