# VISTA HILLS

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

## Provider details

- **NPI number:** 1669705836
- **Authorized official:** MISS ANALYN B GONZALES (LVN)
- **Authorized official phone:** (858) 571-1964

## Contact information

- **Practice address:** 2851 MEADOW LARK DR, SAN DIEGO, CA 92123-2709
- **Practice address phone:** (858) 571-1964
- **Practice address fax:** (858) 571-1967
- **Mailing address:** 2851 MEADOW LARK DR, SAN DIEGO, CA 92123-2709
- **Mailing address phone:** (858) 571-1964
- **Mailing address fax:** (858) 571-1967

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 951944230 | CA | Yes |

## Other

- **Enumeration date:** 09/04/2009
- **Last updated:** 09/04/2009