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4660 Viewridge Ave San Diego CA 92123-1638 | |
| (858) 565-2510 | |
| (858) 565-0827 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4660 Viewridge Ave, San Diego, California |
| Authorized Official Name and Position | James C. Callaghan (PRESIDENT/CEO) |
| Authorized Official Contact | 8585732600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
9465 Farnham St San Diego CA 92123-1308 Ph: (858) 573-2600 | 4660 Viewridge Ave San Diego CA 92123-1638 Ph: (858) 565-2510 |
| NPI Number | 1518094689 |
|---|---|
| Provider Enumeration Date | 02/27/2007 |
| Last Update Date | 08/26/2020 |
| Certification Date | 08/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518094689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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