Organization
BAYSIDE COMMUNITY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORGE RIQUELME (DIRECTOR)
(858) 278-0771
Entity
Organization
Contact information
Practice address
2202 COMSTOCK ST, SAN DIEGO, CA 92111-6502
(858) 278-0771
(858) 278-6193
Mailing address
2202 COMSTOCK ST, SAN DIEGO, CA 92111-6502
(858) 278-0771
(858) 278-6193
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/21/2007
Last updated
08/22/2020
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