Organization
COUNTY OF SAN DIEGO
Active
Parent organization
COUNTY OF SAN DIEGO
Other names
San Diego County Probation
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF SAN DIEGO
Authorized official
MICHAEL L KELLEY MSN, RN, PHN (HEALTHCARE OPERATIONS MANAGER)
(858) 298-6284
Entity
Organization
Contact information
Practice address
2801 MEADOW LARK DR, SAN DIEGO, CA 92123-2709
(858) 298-6851
Mailing address
9444 BALBOA AVE STE 500, SAN DIEGO, CA 92123-4393
Taxonomy
Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/24/2025
Last updated
08/19/2025
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