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Organization
CALIFORNIA DEPARTMENT OF HEALTH CARE SERVICES
Active
Organization
CALIFORNIA DEPARTMENT OF HEALTH CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA OH RN (NURSE EVALUATOR IV/ADMINISTRATOR)
(858) 495-3604
Entity
Organization
Contact information
Practice address
9555 CHESAPEAKE DR STE 203, SAN DIEGO, CA 92123-6394
(619) 688-6131
(858) 637-5599
Mailing address
9555 CHESAPEAKE DR STE 203, SAN DIEGO, CA 92123-6394
(619) 688-6131
(858) 637-5599
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
517407
CA
Other
Enumeration date
04/09/2013
Last updated
04/09/2013
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