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3665 Kearny Villa Rd Suite 440 San Diego CA 92123-1953 | |
| (858) 966-1700 | |
| (858) 966-7803 |
| Full Name | |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 3665 Kearny Villa Rd, San Diego, California |
| Authorized Official Name and Position | Virginia Dillon Bial (PROGRAM MANAGER) |
| Authorized Official Contact | 8585761700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3020 Childrens Way Mc 5023 San Diego CA 92123-4223 Ph: (858) 966-1700 | 3665 Kearny Villa Rd Suite 440 San Diego CA 92123-1953 Ph: (858) 966-1700 |
| NPI Number | 1639387681 |
|---|---|
| Provider Enumeration Date | 05/21/2007 |
| Last Update Date | 01/22/2025 |
| Certification Date | 01/22/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639387681 | NPI | - | NPPES |
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