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PATHFINDERS OF SAN DIEGO NPI 1982108841


NPI Information

NPI: 1982108841
Provider Name: PATHFINDERS OF SAN DIEGO
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
1530 DALE ST
SAN DIEGO, CA
ZIP 92102
Phone: (619) 260-1605
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PATHFINDERS OF SAN DIEGO is a substance abuse rehabilitation facility in San Diego, CA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. PATHFINDERS OF SAN DIEGO NPI is 1982108841. The provider is registered as an organization entity type.

The provider's business location address is:

1530 DALE ST
SAN DIEGO, CA
ZIP 92102-519
Phone: (619) 260-1605

The provider's authorized official is Steven Gilbert Stanley .
The authorized official title is Executive Director and has the following contact phone number (619) 666-7826.

The enumeration date for this NPI number is 3/23/2018 and was last updated on 3/23/2018.


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
1324500000XSubstance Abuse Rehabilitation Facility370006ANCALIFORNIAYes

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
1=========MEDICAIDCALIFORNIA

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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