NPI 1023103595
County of San Diego
Practice location
- Address
- 1110 Carolina Lane, San Diego, CA 92102
- Phone
- (619) 262-7342
- Fax
- (619) 262-8918
- Mailing address
- 6160 Mission Gorge Road, San Diego, CA 92120
Authorised official
- Name
- Robyn Burns
- Title
- Chief
- Phone
- (619) 528-4082
Registered specialties
Exclusive Provider Organization
Primary
Registry record
- NPI
- 1023103595
- Entity type
- Organization
- NPI issued
- 3 Oct 2006
- Record last updated
- 22 Aug 2020
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.