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SAN DIEGO HEALTH ALLIANCE NPI 1700989829


NPI Information

NPI: 1700989829
Provider Name: SAN DIEGO HEALTH ALLIANCE

Doing Business As: FASHION VALLEY CLINIC

Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

CLIA Number: 05D1044705

Address:
7545 METROPOLITAN DR
SAN DIEGO, CA
ZIP 92108
Phone: (619) 718-9890
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SAN DIEGO HEALTH ALLIANCE is a methadone clinic center in San Diego, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. SAN DIEGO HEALTH ALLIANCE NPI is 1700989829. The provider is registered as an organization entity type.
The provider Is Doing Business As Fashion Valley Clinic.

The provider's business location address is:

7545 METROPOLITAN DR
SAN DIEGO, CA
ZIP 92108-402
Phone: (619) 718-9890
Fax: (619) 718-9897

The provider's authorized official is Brian Phillip Farley .
The authorized official title is Vp & Secretary and has the following contact phone number (615) 861-6000.

The CLIA number assigned to this NPI record is 05D1044705 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/6/2006 and was last updated on 8/10/2023.


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
1261QR0405XClinic/CenterRehabilitation, Substance Use Disorder37-15CALIFORNIANo
2261QM2800XClinic/CenterMethadoneYes

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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