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Organization

UC SAN DIEGO FOUNDATION

Active
Parent organization
UC SAN DIEGO FOUNDATION
Other names
UCSD Student Run Free Clinic Project
Organization subpart
Yes

Provider details

NPI number
Legal business name
UC SAN DIEGO FOUNDATION
Authorized official
DR. SUNNY D SMITH MD (CLINIC DIRECTOR)
(858) 534-6160
Entity
Organization

Contact information

Practice address
1561 THOMAS AVE, SAN DIEGO, CA 92109-4346
(858) 534-6160
(858) 822-3990
Mailing address
9500 GILMAN DR, LA JOLLA, CA 92093-0696
(858) 534-6160
(858) 822-3990

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary

Other

Enumeration date
01/23/2015
Last updated
01/23/2015
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