Organization
CLINICA SAN DIEGO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSARIO YOLANDA ESQUEDA DE SAINOS NONE (CEO)
(602) 277-8885
Entity
Organization
Contact information
Practice address
4245 N 19TH AVE, PHOENIX, AZ 85015-5109
(602) 277-8885
Mailing address
8026 W LUKE AVE, GLENDALE, AZ 85303-5166
(623) 444-6207
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
33819
AZ
Other
Enumeration date
03/17/2010
Last updated
03/17/2010
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