ACTIVATE HEALTHCARE - UNITE HERE NPI 1518424167

NPI Information

NPI: 1518424167
Provider Name: ACTIVATE HEALTHCARE - UNITE HERE
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 14D2199409

Address:
2952 MARKET ST
SAN DIEGO, CA
ZIP 92102
Phone: (619) 798-4613
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ACTIVATE HEALTHCARE - UNITE HERE is a primary care clinic center in San Diego, CA. ACTIVATE HEALTHCARE - UNITE HERE NPI is 1518424167. The provider is registered as an organization entity type.

The provider's business location address is:

2952 MARKET ST
SAN DIEGO, CA
ZIP 92102-241
Phone: (619) 798-4613
Fax: (619) 798-4614

The provider's authorized official is Debra Geihsler .
The authorized official title is Principal and has the following contact phone number (773) 697-3144.

The CLIA number assigned to this NPI record is 14D2199409 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/1/2019 and was last updated on 3/1/2019.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

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: 4/28/2024

NPI Synchronization or Removal

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