Organization
CSSD II A MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BOBBI GOMEZ (DIRECTOR TPA SERVICES)
(858) 309-6280
Entity
Organization
Contact information
Practice address
3860 CALLE FORTUNADA, SUITE 210, SAN DIEGO, CA 92123-4800
(858) 309-6280
Mailing address
3860 CALLE FORTUNADA, SUITE 210, SAN DIEGO, CA 92123-4800
(858) 309-6300
(858) 576-9637
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
08/24/2007
Last updated
06/16/2008
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