Organization
HHSA-PA/PG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI BAYS (ADMINISTRATOR)
(858) 694-3500
Entity
Organization
Contact information
Practice address
5201 RUFFIN RD STE A, SAN DIEGO, CA 92123-1699
(858) 694-3500
Mailing address
5201 RUFFIN RD STE A, SAN DIEGO, CA 92123-1699
(858) 694-3500
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
02/17/2011
Last updated
02/17/2011
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