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Organization
THC - ORANGE COUNTY LLC
Active
Organization
THC - ORANGE COUNTY LLC
Active
Other names
d/b/a Kindred Hospital - San Diego
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY TEAGUE (VICE PRESIDENT, CORPORATE SECRETARY)
(629) 253-5121
Entity
Organization
Contact information
Practice address
1940 EL CAJON BLVD, SAN DIEGO, CA 92104
(619) 543-4500
(619) 294-2979
Mailing address
1940 EL CAJON BLVD, SAN DIEGO, CA 92104-1005
(619) 543-4500
(619) 294-2979
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
090000059
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
052035
BLUE CROSS
CA
05
—
ZZT30220I
—
CA
01
—
ZZT40220I
HEALTH NET
CA
Enumeration date
10/25/2006
Last updated
03/11/2024
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