NPI 1003262023
Upac Trc
Practice location
- Address
- 4041 Oregon St, San Diego, CA 92104-1706
- Phone
- (619) 521-5720
- Mailing address
- 3288 El Cajon Blvd STE 13, San Diego, CA 92104-1430
Authorised official
- Name
- Courtney Boatman
- Title
- Program Director
- Phone
- (619) 521-5720
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1003262023
- Entity type
- Organization
- NPI issued
- 9 May 2016
- Record last updated
- 12 Sep 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.