# BALBOA HOSPITAL

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

## Provider details

- **NPI number:** 1306901988
- **Authorized official:** MS. ELISE JOY VANDA LCSW (SOCIAL WORKER)
- **Authorized official phone:** (619) 532-8441

## Contact information

- **Practice address:** 34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
- **Practice address phone:** (619) 532-8441
- **Mailing address:** 34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
- **Mailing address phone:** (619) 532-8441

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2865M2000X | Military General Acute Care Hospital | LCS 15681 | CA | Yes |

## Other

- **Enumeration date:** 12/26/2006
- **Last updated:** 08/22/2020