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EXODUS HEALTHCARE INC NPI 1649463803


NPI Information

NPI: 1649463803
Provider Name: EXODUS HEALTHCARE INC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
6445 UNIVERSITY AVE
SAN DIEGO, CA
ZIP 92115
Phone: (760) 845-4876
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EXODUS HEALTHCARE INC is a specialist in San Diego, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. EXODUS HEALTHCARE INC NPI is 1649463803. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6445 UNIVERSITY AVE
SAN DIEGO, CA
ZIP 92115-808
Phone: (760) 845-4876

The provider's authorized official is Steven Green .
The authorized official title is President and has the following contact phone number (760) 845-4876.

The enumeration date for this NPI number is 8/21/2007 and was last updated on 8/21/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistCALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W19528OTHERCALIFORNIAMEDICARE GROUP NUMBER
2WPT18845BMEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.