Organization
EMPOWERED COMMUNITY MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REYNALDO LARA JR. (BOARD MEMBER)
(805) 680-2774
Entity
Organization
Contact information
Practice address
3911 CLEVELAND AVE # 33748, SAN DIEGO, CA 92103-3402
(805) 386-9712
Mailing address
3911 CLEVELAND AVE # 33748, SAN DIEGO, CA 92103-3402
(805) 680-2774
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
09/12/2025
Last updated
09/12/2025
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