| South Bay Guidance Center | |
|
1196 Third Ave Chula Vista CA 91911 | |
| (619) 427-4661 | |
| (619) 426-7849 |
| Full Name | South Bay Guidance Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1196 Third Ave, Chula Vista, California |
| Authorized Official Name and Position | Bob Marchetti (CFO) |
| Authorized Official Contact | 6192750822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Bay Guidance Center 1196 Third Ave Chula Vista CA 91911-3131 Ph: (619) 427-4661 | South Bay Guidance Center 1196 Third Ave Chula Vista CA 91911 Ph: (619) 427-4661 |
| NPI Number | 1790808103 |
|---|---|
| Provider Enumeration Date | 04/09/2007 |
| Last Update Date | 08/28/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790808103 | NPI | - | NPPES |
| 3709 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 3709 (California) | Primary |
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