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Organization

COUNTY OF SAN DIEGO SHERIFF

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTOPHER A MIEDICO (MEDICAL SERVICES ADMINISTRATOR)
(858) 974-5824
Entity
Organization

Contact information

Practice address
1173 FRONT ST, SAN DIEGO, CA 92101-3904
(858) 974-5971
Mailing address
5530 OVERLAND AVE STE 370, SAN DIEGO, CA 92123-1261
(858) 974-5971

Taxonomy

Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary

Other

Enumeration date
01/27/2025
Last updated
02/04/2025
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