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4715 Viewridge Ave Ste 230 San Diego CA 92123-1680 | |
| (800) 257-8715 | |
| (858) 874-8212 |
| Full Name | |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 4715 Viewridge Ave Ste 230, San Diego, California |
| Authorized Official Name and Position | Bennett O. Voit (SECRETARY) |
| Authorized Official Contact | 8002578715 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4715 Viewridge Ave Suite 230 San Diego CA 92123-1680 Ph: (800) 257-8715 | 4715 Viewridge Ave Ste 230 San Diego CA 92123-1680 Ph: (800) 257-8715 |
| NPI Number | 1700036381 |
|---|---|
| Provider Enumeration Date | 09/19/2008 |
| Last Update Date | 12/31/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700036381 | NPI | - | NPPES |
| CA5822 | Other | NJ | RAILROAD MEDICARE |
| 3172309 | Medicaid | NJ | |
| 0242497 | Medicaid | NJ | |
| 60043122 | Other | NJ | BCBS |
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