Organization
HSSA COUNTY OF SAN DIEGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARGION VERA SORIANO LVN (LICENSED VOCATIONAL NURSE)
(619) 479-1463
Entity
Organization
Contact information
Practice address
3853 ROSECRANS ST, SAN DIEGO, CA 92110-3115
(619) 692-8200
Mailing address
6850 PLAZA BLVD, SAN DIEGO, CA 92114-7087
(619) 479-1463
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
VN163754
CA
Other
Enumeration date
05/24/2007
Last updated
08/22/2020
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