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707 Oceanside Blvd Oceanside CA 92054-5225 | |
(760) 757-0118 | |
Not Available |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 707 Oceanside Blvd, Oceanside, California |
Authorized Official Name and Position | Ashley Moffett (COMPLIANCE OFFICER) |
Authorized Official Contact | 7608426265 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3142 Vista Way Ste 400 Oceanside CA 92056-3629 Ph: (760) 842-6265 | 707 Oceanside Blvd Oceanside CA 92054-5225 Ph: (760) 757-0118 |
NPI Number | 1689342321 |
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Provider Enumeration Date | 08/30/2021 |
Last Update Date | 10/01/2021 |
Certification Date | 10/01/2021 |
Identifier | Type | State | Issuer |
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1689342321 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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