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4150 Ute Dr San Diego CA 92117-5853 | |
| (858) 283-8941 | |
| (858) 283-8946 |
| Full Name | |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4150 Ute Dr, San Diego, California |
| Authorized Official Name and Position | Yuka Sakamoto (PROGRAM MANAGER) |
| Authorized Official Contact | 8585732227 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4150 Ute Dr San Diego CA 92117-5853 Ph: (858) 283-8941 | 4150 Ute Dr San Diego CA 92117-5853 Ph: (858) 283-8941 |
| NPI Number | 1003930637 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 06/04/2024 |
| Certification Date | 06/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003930637 | NPI | - | NPPES |
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