# SAN DIEGO MEDICAL STAFFING & HOME HEALTHCARE SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194062976
- **Authorized official:** MR. JOHN SALVADOR CASAS LACABA JR. (PRESIDENT/GENERAL MANAGER)
- **Authorized official phone:** (760) 889-1301

## Contact information

- **Practice address:** 3753 MISSION AVE, SUITE 102, OCEANSIDE, CA 92058-1471
- **Practice address phone:** (760) 529-5871
- **Practice address fax:** (760) 994-1263
- **Mailing address:** PO BOX 1822, CARLSBAD, CA 92018-1822
- **Mailing address phone:** (760) 889-1301
- **Mailing address fax:** (760) 994-1263

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | BL122084 | CA | — |
| 253Z00000X | In Home Supportive Care Agency | BL122084 | CA | Yes |

## Other

- **Enumeration date:** 01/14/2013
- **Last updated:** 01/17/2013