Rite Aid | |
11515 Elbert Way San Diego CA 92126-1521 | |
(858) 335-9275 | |
Not Available |
Full Name | Rite Aid |
---|---|
Speciality | Community/behavioral Health |
Location | 11515 Elbert Way, San Diego, California |
Authorized Official Name and Position | Ernesto Quinto (AUTHORIZING PHYSICIAN) |
Authorized Official Contact | 9164532800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Rite Aid 11515 Elbert Way San Diego CA 92126-1521 Ph: (858) 335-9275 | Rite Aid 11515 Elbert Way San Diego CA 92126-1521 Ph: (858) 335-9275 |
NPI Number | 1780993329 |
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Provider Enumeration Date | 09/30/2010 |
Last Update Date | 09/30/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780993329 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 64256 (California) | Primary |
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