SAN DIEGO FOUNDATION FOR RECOVERY NPI 1770756074

NPI Information

NPI: 1770756074
Provider Name: SAN DIEGO FOUNDATION FOR RECOVERY
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
4241 JUTLAND DR
103
SAN DIEGO, CA
ZIP 92117
Phone: (858) 490-3460
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SAN DIEGO FOUNDATION FOR RECOVERY is a multi-specialty clinic center in San Diego, CA. SAN DIEGO FOUNDATION FOR RECOVERY NPI is 1770756074. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4241 JUTLAND DR
103
SAN DIEGO, CA
ZIP 92117-663
Phone: (858) 490-3460
Fax: (858) 490-3462

The provider's authorized official is Phyllis Meagher .
The authorized official title is Ceo and has the following contact phone number (858) 490-3460.

The enumeration date for this NPI number is 4/8/2008 and was last updated on 4/8/2008.

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	Primary
1	171100000X	Acupuncturist		No
2	171M00000X	Case Manager/Care Coordinator		No
3	261Q00000X	Clinic/Center		No
4	261QI0500X	Clinic/Center	Infusion Therapy	No
5	261QP2000X	Clinic/Center	Physical Therapy	No
6	261QP2300X	Clinic/Center	Primary Care	No
7	261QP3300X	Clinic/Center	Pain	No
8	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	No
9	261QR0800X	Clinic/Center	Recovery Care	No
10	261QS1200X	Clinic/Center	Sleep Disorder Diagnostic	No
11	261QM1300X	Clinic/Center	Multi-Specialty	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: 11/14/2023

NPI Synchronization or Removal

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