| North County Lifeline | |
|
4930 Lake Blvd Oceanside CA 92056-4749 | |
| (760) 940-0176 | |
| Not Available |
| Full Name | North County Lifeline |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4930 Lake Blvd, Oceanside, California |
| Authorized Official Name and Position | Taylor Thanh Tran (COMPLIANCE OFFICER) |
| Authorized Official Contact | 7608426265 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North County Lifeline 200 Michigan Ave Vista CA 92084-5424 Ph: (760) 726-4900 | North County Lifeline 4930 Lake Blvd Oceanside CA 92056-4749 Ph: (760) 940-0176 |
| NPI Number | 1487437851 |
|---|---|
| Provider Enumeration Date | 08/17/2023 |
| Last Update Date | 08/17/2023 |
| Certification Date | 08/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487437851 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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