| Ghc Of El Cajon, Llc | |
|
675 E Bradley Ave El Cajon CA 92021-3110 | |
| (619) 448-6633 | |
| Not Available |
| Full Name | Ghc Of El Cajon, Llc |
|---|---|
| Speciality | Skilled Nursing Facility |
| Location | 675 E Bradley Ave, El Cajon, California |
| Authorized Official Name and Position | Lois Mastrocola (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7142415600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ghc Of El Cajon, Llc 6 Hutton Centre Dr Ste 400 Santa Ana CA 92707-8762 Ph: (714) 241-5600 | Ghc Of El Cajon, Llc 675 E Bradley Ave El Cajon CA 92021-3110 Ph: (619) 448-6633 |
| NPI Number | 1356975684 |
|---|---|
| Provider Enumeration Date | 02/25/2020 |
| Last Update Date | 08/05/2024 |
| Certification Date | 08/05/2024 |
| Medicare PECOS PAC ID | 9739508862 |
|---|---|
| Medicare Enrollment ID | O20200923001325 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356975684 | NPI | - | NPPES |
| 1356975684 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 314000000X | Skilled Nursing Facility | (* (Not Available)) | Primary |
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