Organization
COUNTY OF SAN DIEGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA LAKE (CHIEF PHN)
(619) 515-4207
Entity
Organization
Contact information
Practice address
104 BARNES ST, OCEANSIDE, CA 92054-3406
(760) 967-4617
Mailing address
104 BARNES ST, OCEANSIDE, CA 92054-3406
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
818747
CA
Other
Enumeration date
01/07/2013
Last updated
01/07/2013
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