| Mental Health 365 | |
|
4445 Eastgate Mall Suite 200 San Diego CA 92121 | |
| (844) 724-7365 | |
| Not Available |
| Full Name | Mental Health 365 |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4445 Eastgate Mall, San Diego, California |
| Authorized Official Name and Position | Edward L Delaloza (DIRECTOR) |
| Authorized Official Contact | 8447247365 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Health 365 Po Box 13272 La Jolla CA 92039-3272 Ph: (844) 724-7365 | Mental Health 365 4445 Eastgate Mall Suite 200 San Diego CA 92121 Ph: (844) 724-7365 |
| NPI Number | 1548669286 |
|---|---|
| Provider Enumeration Date | 08/19/2014 |
| Last Update Date | 08/19/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548669286 | NPI | - | NPPES |
| 1861680381 | Other | CA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCS21415 (California) | Primary |
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