Organization
SAN DIEGO VA HEALTHCARE SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY ROSSIO (DIRECTOR)
(858) 552-8585
Entity
Organization
Contact information
Practice address
3350 LA JOLLA VILLAGE DR, LA JOLLA, CA 92037-1806
(858) 552-8585
(858) 552-4315
Mailing address
3350 LA JOLLA VILLAGE DR, SAN DIEGO, CA 92161-0002
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
189407
CA
283X00000X
Rehabilitation Hospital
189407
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
189407
RN LICENSE
CA
01
—
468
CNS CERTICATE
CA
Enumeration date
08/30/2006
Last updated
09/11/2025
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