# SAN DIEGO COUNTY MEDICAL SERVICES PROGRAM

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

## Provider details

- **NPI number:** 1679692909
- **Authorized official:** TERRY HOGAN (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (619) 515-6555

## Contact information

- **Practice address:** 8840 COMPLEX DR, SUITE 300, SAN DIEGO, CA 92123-1497
- **Practice address phone:** (858) 492-4422
- **Mailing address:** 8840 COMPLEX DR, SUITE 300, SAN DIEGO, CA 92123-1497
- **Mailing address phone:** (858) 492-4422

## Taxonomy

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

## Other

- **Enumeration date:** 03/28/2007
- **Last updated:** 08/22/2020