NPI 1053254714
Manzanita Health Department
Practice location
- Address
- 222 3rd Ave, Chula Vista, CA 91910-2711
- Phone
- (435) 619-2393
- Mailing address
- PO Box 1302, Boulevard, CA 91905-0402
Authorised official
- Name
- Dallon Echohawk
- Title
- Deputy Health Director
- Phone
- (435) 619-2393
Registered specialties (3)
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
Pediatric Dentistry
Federally Qualified Health Center (FQHC)
Registry record
- NPI
- 1053254714
- Entity type
- Organization
- NPI issued
- 9 Apr 2026
- Record last updated
- 9 Apr 2026
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.