Organization
DISCOVERY PRACTICE MANAGEMENT, INC
Active
Other names
Del Mar - Outpatient
Organization subpart
No
Provider details
NPI number
Authorized official
KERRYLYNN BACA (INSURANCE CONTRACTING)
(714) 828-1800
Entity
Organization
Contact information
Practice address
11455 CAMINO REAL, STE 360, SAN DIEGO, CA 92130
(866) 382-1306
(714) 388-3894
Mailing address
4281 KATELLA AVE, SUITE 111, LOS ALAMITOS, CA 90720-3510
(714) 828-1800
(714) 828-1868
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/16/2016
Last updated
02/16/2016
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