# COUNTY OF SAN DIEGO

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

## Provider details

- **NPI number:** 1508996729
- **Authorized official:** MS. MARGARET DOMINGUEZ RN (PUBLIC HEALTH NURSE SUPERVISOR)
- **Authorized official phone:** (858) 694-5428

## Contact information

- **Practice address:** 6950 LEVANT ST, SAN DIEGO, CA 92111-6010
- **Practice address phone:** (858) 694-5428
- **Practice address fax:** (858) 694-5375
- **Mailing address:** 1756 ESSEX ST, \#312, SAN DIEGO, CA 92103-3655
- **Mailing address phone:** (619) 297-2797

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WC1500X | Community Health Registered Nurse | 564293 | CA | Yes |

## Other

- **Enumeration date:** 03/06/2007
- **Last updated:** 08/22/2020