Organization
BALBOA HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELISE JOY VANDA LCSW (SOCIAL WORKER)
(619) 532-8441
Entity
Organization
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(619) 532-8441
Mailing address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(619) 532-8441
Taxonomy
Speciality
Code
Description
License number
State
2865M2000X
Military General Acute Care Hospital
Primary
LCS 15681
CA
Other
Enumeration date
12/26/2006
Last updated
08/22/2020
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