Organization
ALVARADO HOSPITAL, LLC
Active
Other names
Alvarado Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER DOAN (LEGAL COUNSEL)
(310) 259-4706
Entity
Organization
Contact information
Practice address
6655 ALVARADO RD, SAN DIEGO, CA 92120-5208
(619) 229-3090
Mailing address
6655 ALVARADO RD, SAN DIEGO, CA 92120-5208
(619) 229-3090
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050757B000000
SECTION 1011
CA
05
—
HSC30583I
—
CA
05
—
HSP30583I
—
CA
05
—
HSP40583I
—
CA
01
—
ZZZA3726Z
BLUE SHIELD
CA
Enumeration date
11/08/2018
Last updated
11/08/2018
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