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Organization
VA HOSPITAL SAN DIEGO
Active
Organization
VA HOSPITAL SAN DIEGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDALL KEVIN FALLS I RN (MHICM CASE MANAGER)
(858) 552-8585
Entity
Organization
Contact information
Practice address
3550 LAJOLLA VILLAGE DR, SAN DIEGO, CA 92161-0001
(858) 552-8585
(619) 642-3119
Mailing address
3350 LA JOLLA VILLAGE DR, LA JOLLA, CA 92037-1806
(858) 552-8585
(619) 642-3119
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
343025
CA
282N00000X
General Acute Care Hospital
343026
CA
313M00000X
Nursing Facility/Intermediate Care Facility
343026
CA
Other
Enumeration date
09/21/2006
Last updated
09/11/2025
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