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PASSPORT HEALTH NPI 1578896486


NPI Information

NPI: 1578896486
Provider Name: PASSPORT HEALTH
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
2525 CAMINO DEL RIO S STE 325
SAN DIEGO, CA
ZIP 92108
Phone: (619) 293-3963
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PASSPORT HEALTH is a clinic center in San Diego, CA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). PASSPORT HEALTH NPI is 1578896486. The provider is registered as an organization entity type.

The provider's business location address is:

2525 CAMINO DEL RIO S STE 325
SAN DIEGO, CA
ZIP 92108-784
Phone: (619) 293-3963
Fax: (619) 293-3936

The provider's authorized official is Denise Renee Lozares .
The authorized official title is Director and has the following contact phone number (619) 293-3963.

The enumeration date for this NPI number is 9/9/2009 and was last updated on 9/10/2009.


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
1261Q00000XClinic/CenterYes

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

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