| |
1738 S Tremont St Oceanside CA 92054-5309 | |
(760) 439-2800 | |
(760) 433-5031 |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 1738 S Tremont St, Oceanside, 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 |
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1738 S Tremont St Oceanside CA 92054-5309 Ph: (760) 439-2800 | 1738 S Tremont St Oceanside CA 92054-5309 Ph: (760) 439-2800 |
NPI Number | 1295853265 |
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Provider Enumeration Date | 03/27/2007 |
Last Update Date | 07/29/2021 |
Certification Date | 07/29/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295853265 | NPI | - | NPPES |
8371 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 8731 (California) | Primary |
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