| Pacific Beach Health, Llc | |
|
2108 Garnet Ave Ste A San Diego CA 92109-3671 | |
| (858) 717-4322 | |
| Not Available |
| Full Name | Pacific Beach Health, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 2108 Garnet Ave Ste A, San Diego, California |
| Authorized Official Name and Position | Thomas Hathorn (CEO) |
| Authorized Official Contact | 8587174322 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Beach Health, Llc 2108 Garnet Ave Ste A San Diego CA 92109-3671 Ph: (858) 717-4322 | Pacific Beach Health, Llc 2108 Garnet Ave Ste A San Diego CA 92109-3671 Ph: (858) 717-4322 |
| NPI Number | 1871160408 |
|---|---|
| Provider Enumeration Date | 06/10/2021 |
| Last Update Date | 05/02/2024 |
| Certification Date | 05/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871160408 | NPI | - | NPPES |
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