# HHSA COUNTY OF SAN DIEGO

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

## Provider details

- **NPI number:** 1215218748
- **Authorized official:** MR. BRUCE COON PHN (PUBLIC HEALTH NURSE)
- **Authorized official phone:** (619) 692-8293

## Contact information

- **Practice address:** 3851 ROSECRANS ST, SUITE S (STD CLINIC), SAN DIEGO, CA 92110-3134
- **Practice address phone:** (619) 692-8865
- **Practice address fax:** (619) 692-8543
- **Mailing address:** 3851 ROSECRANS ST, SUITE S (STD CLINIC), SAN DIEGO, CA 92110-3134
- **Mailing address phone:** (619) 692-8865
- **Mailing address fax:** (619) 692-8543

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/29/2011
- **Last updated:** 08/29/2011
