| Upac East Wind Clinic | |
|
8745 Aero Dr Ste. 330 San Diego CA 92123-1761 | |
| (858) 268-4933 | |
| Not Available |
| Full Name | Upac East Wind Clinic |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8745 Aero Dr, San Diego, California |
| Authorized Official Name and Position | Margaret Iwanaga Penrose (PRESIDENT CEO) |
| Authorized Official Contact | 6192326454 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Upac East Wind Clinic 1031 25th St San Diego CA 92102-2102 Ph: (619) 232-6454 | Upac East Wind Clinic 8745 Aero Dr Ste. 330 San Diego CA 92123-1761 Ph: (858) 268-4933 |
| NPI Number | 1841404837 |
|---|---|
| Provider Enumeration Date | 05/09/2007 |
| Last Update Date | 01/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841404837 | NPI | - | NPPES |
| CH345A | Other | CA | MEDICARE PROVIDER TRANSACTION ACCESS NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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