| Zion Healing Center | |
|
330 S Magnolia Ave Ste 203 El Cajon CA 92020-5224 | |
| (619) 350-0302 | |
| Not Available |
| Full Name | Zion Healing Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 330 S Magnolia Ave Ste 203, El Cajon, California |
| Authorized Official Name and Position | Marvin Razuki (OWNER) |
| Authorized Official Contact | 8588294701 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Zion Healing Center 330 S Magnolia Ave Ste 203 El Cajon CA 92020-5224 Ph: (619) 350-0302 | Zion Healing Center 330 S Magnolia Ave Ste 203 El Cajon CA 92020-5224 Ph: (619) 350-0302 |
| NPI Number | 1003696055 |
|---|---|
| Provider Enumeration Date | 10/05/2023 |
| Last Update Date | 03/13/2024 |
| Medicare PECOS PAC ID | 1850833302 |
|---|---|
| Medicare Enrollment ID | O20240612000575 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003696055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Jordan Boehler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316280332 PECOS PAC ID: 4385971852 Enrollment ID: I20190806002590 |
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