California Department Of Health Care Services
Public Health or Welfare in San Diego, CA. Organization (NPI-2).
NPI number1437592458
StatusActive
Last updated in NPPESApr 9, 2013
Details
- NPI
- 1437592458
- Entity type
- Organization (NPI-2)
- Legal business name
- California Department Of Health Care Services
- Organization subpart
- No
- Enumeration date
- Apr 9, 2013
- Last updated
- Apr 9, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251K00000X | Public Health or Welfare | 517407 | CA | Yes |
Practice location
9555 Chesapeake Dr Ste 203San Diego, CA 92123-6394
Phone 619-688-6131 · Fax 858-637-5599
Mailing address
9555 Chesapeake Dr Ste 203San Diego, CA 92123-6394
Phone 619-688-6131 · Fax 858-637-5599
Authorized official
Angela Oh
Nurse Evaluator IV/Administrator
8584953604
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