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Organization

COMMUNITY ELDERCARE OF SAN DIEGO

Active
Other names
St. Paul's PACE
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN ALAN ALLGOOD (EXECUTIVE DIRECTOR)
(619) 677-3830
Entity
Organization

Contact information

Practice address
111 ELM ST, SAN DIEGO, CA 92101-2692
(619) 677-3800
Mailing address
328 MAPLE ST, SAN DIEGO, CA 92103-6522
(619) 239-6900
(619) 239-1256

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary

Other

Enumeration date
01/18/2008
Last updated
01/18/2008
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