# CALIFORNIA DEPARTMENT OF HEALTH CARE SERVICES

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

## Provider details

- **NPI number:** 1437592458
- **Authorized official:** ANGELA OH RN (NURSE EVALUATOR IV/ADMINISTRATOR)
- **Authorized official phone:** (858) 495-3604

## Contact information

- **Practice address:** 9555 CHESAPEAKE DR STE 203, SAN DIEGO, CA 92123-6394
- **Practice address phone:** (619) 688-6131
- **Practice address fax:** (858) 637-5599
- **Mailing address:** 9555 CHESAPEAKE DR STE 203, SAN DIEGO, CA 92123-6394
- **Mailing address phone:** (619) 688-6131
- **Mailing address fax:** (858) 637-5599

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | 517407 | CA | Yes |

## Other

- **Enumeration date:** 04/09/2013
- **Last updated:** 04/09/2013