Organization
VISTA HILLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ANALYN B GONZALES (LVN)
(858) 571-1964
Entity
Organization
Contact information
Practice address
2851 MEADOW LARK DR, SAN DIEGO, CA 92123-2709
(858) 571-1964
(858) 571-1967
Mailing address
2851 MEADOW LARK DR, SAN DIEGO, CA 92123-2709
(858) 571-1964
(858) 571-1967
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
951944230
CA
Other
Enumeration date
09/04/2009
Last updated
09/04/2009
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