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Organization
COMMUNITY ELDERCARE SAN DIEGO
Active
Organization
COMMUNITY ELDERCARE SAN DIEGO
Active
Other names
St. Paul's PACE
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA JOY GOIS (MARKETING DIRECTOR)
(619) 677-3800
Entity
Organization
Contact information
Practice address
111 ELM ST, SAN DIEGO, CA 92101-2692
(619) 677-3800
(619) 781-8186
Mailing address
111 ELM ST, SAN DIEGO, CA 92101-2692
(619) 677-3800
(619) 781-8186
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
550001964
CA
305R00000X
Preferred Provider Organization
—
CA
Other
Enumeration date
04/02/2013
Last updated
04/02/2013
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