Organization
ACESS TO SAN DIEGO
Active
Other names
The Access Center Spoke Shop
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH P DECIMA (MANAGER OF BUSINESS ENTERPRISES)
(619) 296-8012
Entity
Organization
Contact information
Practice address
1295 UNIVERSITY AVE STE 2, SUITE 2, SAN DIEGO, CA 92103-3333
(619) 296-8012
(619) 296-5269
Mailing address
1295 UNIVERSITY AVE, SUITE 2, SAN DIEGO, CA 92103-3333
(619) 296-8012
(619) 296-5269
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
101302
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME00068F
—
CA
Enumeration date
09/21/2006
Last updated
06/16/2008
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