Organization
SAN DIEGO HOSPICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAN CETTI (CEO, PRESIDENT)
(619) 688-1500
Entity
Organization
Contact information
Practice address
4311 3RD AVE, SAN DIEGO, CA 92103-1407
(619) 688-1500
(619) 688-0734
Mailing address
4311 THIRD AVE, SAN DIEGO, CA 92103-1407
(619) 688-1500
(619) 688-0734
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
080000392
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HSP30698F
—
CA
Enumeration date
05/28/2009
Last updated
05/28/2009
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