Organization
BORREGO COMMUNITY HEALTH FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO ROSSELLI (DIRECTOR OF MANAGED CARE OPERATIONS)
(619) 344-2815
Entity
Organization
Contact information
Practice address
955 HARBOR ISLAND DR, SUITE 155, SAN DIEGO, CA 92101-1069
(619) 344-2815
Mailing address
955 HARBOR ISLAND DR., SUITE 155, SAN DIEGO, CA 92101-1034
(619) 344-2815
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/17/2014
Last updated
11/17/2014
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