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10620 Treena St 230 San Diego CA 92131-1140 | |
| (619) 793-2010 | |
| (858) 408-1891 |
| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 10620 Treena St, San Diego, California |
| Authorized Official Name and Position | Marlayna Danielle Bolllinger (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6197932010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
10620 Treena St 230 San Diego CA 92131-1140 Ph: (619) 793-2010 | 10620 Treena St 230 San Diego CA 92131-1140 Ph: (619) 793-2010 |
| NPI Number | 1013363522 |
|---|---|
| Provider Enumeration Date | 05/13/2016 |
| Last Update Date | 06/11/2019 |
| Medicare PECOS PAC ID | 4981950714 |
|---|---|
| Medicare Enrollment ID | O20180709001495 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013363522 | NPI | - | NPPES |
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