Organization
SAN DIEGO HEALTH ALLIANCE
Active
Parent organization
SAN DIEGO HEALTH ALLIANCE
Other names
Capalina Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAN DIEGO HEALTH ALLIANCE
Authorized official
BRIAN PHILLIP FARLEY (VP & SECRETARY)
(615) 861-6000
Entity
Organization
Contact information
Practice address
1560 CAPALINA CLINIC, SAN MARCOS, CA 92069
(760) 744-2104
(760) 744-1382
Mailing address
6183 PASEO DEL NORTE, STE 200, CARLSBAD, CA 92011-1151
(855) 259-2288
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
3714
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8778
—
CA
Enumeration date
09/06/2006
Last updated
08/11/2023
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