Organization
SAN DIEGO COUNTY MEDICAL SERVICES PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY HOGAN (CHIEF FINANCIAL OFFICER)
(619) 515-5655
Entity
Organization
Contact information
Practice address
8840 COMPLEX DR, STE 300, SAN DIEGO, CA 92123-1497
(858) 492-4422
Mailing address
8840 COMPLEX DR, STE 300, SAN DIEGO, CA 92123-1497
(858) 492-4422
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
05/17/2007
Last updated
08/22/2020
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