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2667 Camino Del Rio S Ste 210-3 San Diego CA 92108-3707 | |
| (877) 711-2659 | |
| (858) 790-8300 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2667 Camino Del Rio S Ste 210-3, San Diego, California |
| Authorized Official Name and Position | Liza Jones Jones (MEMBER/OWNER) |
| Authorized Official Contact | 8777112659 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3400 Cottage Way Sute G2 #3332 Sacramento CA 95825 Ph: () - | 2667 Camino Del Rio S Ste 210-3 San Diego CA 92108-3707 Ph: (877) 711-2659 |
| NPI Number | 1306433214 |
|---|---|
| Provider Enumeration Date | 12/26/2020 |
| Last Update Date | 12/30/2021 |
| Certification Date | 11/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306433214 | NPI | - | NPPES |
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