NPI 1194271189

Cvs Health

Organisation Preferred Provider Organization San Diego, CA

Practice location

Address: 1792 Garnet Ave, San Diego, CA 92109-3350
Phone: (858) 483-1489
Fax: (858) 483-2237

Authorised official

Name: Diana L Telahun
Title: Pharmacist
Phone: (858) 483-1489

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 60385 (CA)

Other Preferred Provider Organization providers in California →

Registry record

NPI: 1194271189
Entity type: Organization
NPI issued: 30 Aug 2016
Record last updated: 30 Aug 2016

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.