Organization
CALIFORNIA DEPARTMENT OF HEALTH CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA OH RN (NURSE EVALUATOR IV/ADMINISTRATOR)
(858) 495-3604
Entity
Organization
Contact information
Practice address
9555 CHESAPEAKE DR STE 203, SAN DIEGO, CA 92123-6394
(619) 688-6131
(858) 637-5599
Mailing address
9555 CHESAPEAKE DR STE 203, SAN DIEGO, CA 92123-6394
(619) 688-6131
(858) 637-5599
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
517407
CA
Other
Enumeration date
04/09/2013
Last updated
04/09/2013
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