Organization
VA SAN DIEGO HEALTHCARE SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARA L. DAVIS MSW (SOCIAL WORKER)
(858) 642-3500
Entity
Organization
Contact information
Practice address
3350 LA JOLLA VILLAGE DR -MAIL BOX 122, SAN DIEGO, CA 92161-0002
(858) 642-3500
(858) 642-4755
Mailing address
3350 LA JOLLA VILLAGE DR -MAIL BOX 122, SAN DIEGO, CA 92161-0002
(858) 642-3500
(858) 642-4755
Taxonomy
Speciality
Code
Description
License number
State
2865M2000X
Military General Acute Care Hospital
Primary
ASW 21803
CA
Other
Enumeration date
03/17/2008
Last updated
03/17/2008
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