| |
200 West Arbor Drive Mc8937 San Diego CA 92103-8937 | |
(619) 543-6308 | |
(619) 543-3004 |
Full Name | |
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Speciality | Psychiatric Unit |
Location | 200 West Arbor Drive, San Diego, California |
Authorized Official Name and Position | Lori Donaldson (CFO) |
Authorized Official Contact | 6195436060 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
File 556631 Los Angeles CA 90074-0001 Ph: (619) 543-6308 | 200 West Arbor Drive Mc8937 San Diego CA 92103-8937 Ph: (619) 543-6308 |
NPI Number | 1376641969 |
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Provider Enumeration Date | 09/20/2006 |
Last Update Date | 12/08/2023 |
Certification Date | 12/08/2023 |
Medicare PECOS PAC ID | 2769376938 |
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Medicare Enrollment ID | O20120402000655 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376641969 | NPI | - | NPPES |
HSM30025F | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
273R00000X | Psychiatric Unit | 090000101 (California) | Primary |
283Q00000X | Psychiatric Hospital | 090000101 (California) | Secondary |
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