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Organization

PACIFIC COAST HEALTHCARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOSHUA DANIEL HENNIG (CEO)
(619) 291-8600
Entity
Organization

Contact information

Practice address
4025 CAMINO DEL RIO S, SUITE #331, SAN DIEGO, CA 92108-4107
(619) 291-8602
Mailing address
4025 CAMINO DEL RIO S, SUITE #331, SAN DIEGO, CA 92108-4107
(619) 291-8602

Taxonomy

Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
2007026052
CA

Other

Enumeration date
12/04/2007
Last updated
12/04/2007
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