# VA SAN DIEGO HEALTHCARE SYSTEM

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

## Provider details

- **NPI number:** 1841596301
- **Authorized official:** DR. SHAFAGH MONAZZAM M.D. (RESIDENT)
- **Authorized official phone:** (714) 595-2250

## Contact information

- **Practice address:** 4260 PORTE DE PALMAS UNIT 60, SAN DIEGO, CA 92122-5159
- **Practice address phone:** (858) 552-8585
- **Mailing address:** 4260 PORTE DE PALMAS UNIT 60, SAN DIEGO, CA 92122-5159

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 286500000X | Military Hospital | TRAINEE | NULL | Yes |

## Other

- **Enumeration date:** 02/01/2011
- **Last updated:** 02/01/2011