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3853 Rosecrans St San Diego CA 92110-3115 | |
(619) 692-8200 | |
(619) 542-4060 |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 3853 Rosecrans St, San Diego, California |
Authorized Official Name and Position | Alfredo Aguirre (DEPUTY DIRECTOR MENTAL HEALTH SRVS) |
Authorized Official Contact | 6195632711 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3853 Rosecrans St San Diego CA 92110-3115 Ph: (619) 692-8200 | 3853 Rosecrans St San Diego CA 92110-3115 Ph: (619) 692-8200 |
NPI Number | 1255744587 |
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Provider Enumeration Date | 06/04/2014 |
Last Update Date | 06/04/2014 |
Identifier | Type | State | Issuer |
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1255744587 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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