# VA HOSPITAL SAN DIEGO

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

## Provider details

- **NPI number:** 1982703831
- **Authorized official:** MR. RANDALL KEVIN FALLS I RN (MHICM CASE MANAGER)
- **Authorized official phone:** (858) 552-8585

## Contact information

- **Practice address:** 3550 LAJOLLA VILLAGE DR, SAN DIEGO, CA 92161-0001
- **Practice address phone:** (858) 552-8585
- **Practice address fax:** (619) 642-3119
- **Mailing address:** 3350 LA JOLLA VILLAGE DR, LA JOLLA, CA 92037-1806
- **Mailing address phone:** (858) 552-8585
- **Mailing address fax:** (619) 642-3119

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | 343025 | CA | Yes |
| 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