Organization
COMMUNITY HEALTH GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NORMA DIAZ (CHIEF EXECUTIVE OFFICER)
(619) 498-6416
Entity
Organization
Contact information
Practice address
2420 FENTON ST STE 100, CHULA VISTA, CA 91914-3516
(619) 422-0422
(619) 476-3836
Mailing address
2420 FENTON ST STE 100, CHULA VISTA, CA 91914-3516
(619) 422-0422
(619) 476-3836
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
09/21/2021
Last updated
09/21/2021
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