Organization
COUNTY OF SAN DIEGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA GEORGE MAROOKI (STUDENT INTERN)
(619) 401-5500
Entity
Organization
Contact information
Practice address
1000 BROADWAY, SUIT 210, EL CAJON, CA 92021-6886
(619) 401-5500
Mailing address
1000 BROADWAY STE 210, EL CAJON, CA 92021-4899
(619) 401-5500
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/31/2016
Last updated
09/14/2016
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