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2950 El Cajon Blvd Suite 4 San Diego CA 92104-1205 | |
| (310) 945-3350 | |
| (310) 840-7023 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2950 El Cajon Blvd, San Diego, California |
| Authorized Official Name and Position | Leeann Skorohod (SR VP OPERATIONS) |
| Authorized Official Contact | 3109453350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
9808 Venice Blvd Suite 700 Culver City CA 90232-2732 Ph: (310) 945-3350 | 2950 El Cajon Blvd Suite 4 San Diego CA 92104-1205 Ph: (310) 945-3350 |
| NPI Number | 1831434000 |
|---|---|
| Provider Enumeration Date | 11/29/2012 |
| Last Update Date | 12/18/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831434000 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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