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Organization
ALVARADO HOSPITAL, LLC
Active
Organization
ALVARADO HOSPITAL, LLC
Active
Other names
Alvarado Hospital Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HARRIS KOENIG (CEO)
(619) 229-3172
Entity
Organization
Contact information
Practice address
6645 ALVARADO RD, SAN DIEGO, CA 92120-5208
(619) 229-3172
(619) 229-3273
Mailing address
6645 ALVARADO RD, SAN DIEGO, CA 92120-5208
(619) 229-3172
(619) 229-3273
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZC3721Z
TRICARE
CA
Enumeration date
06/25/2006
Last updated
10/12/2010
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