institution
Thc - Orange County, Llc
General Practice Physician in San Diego, California
NPI 1093947251

Thc - Orange County, Llc is a General Practice Physician based in San Diego, CA. Thc - Orange County, Llc practices in San Diego, CA. The NPI Number for Thc - Orange County, Llc is 1093947251 and holds a License No. (California).

The current practice location address for Thc - Orange County, Llc is 1940 El Cajon Blvd, San Diego, CA and can be reached out via phone at 619-543-4500 and via fax at 619-294-2979.

Location: 1940 El Cajon Blvd, San Diego, CA, 92104-1005
institution
Provider Profile Details
NPI Number
1093947251
Provider Name
Thc - Orange County, Llc
Credential
Provider Entity Type
Organization
Address
1940 El Cajon Blvd, San Diego, CA, 92104-1005
Phone Number
619-543-4500
Fax Number
619-294-2979
Provider Enumeration Date
08/20/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZT30220I 05 CA
052035 01 CA BLUE CROSS
ZZT40220I 01 CA HEALTH NET
institution
Provider Business Practice Location Address Details
Address
1940 El Cajon Blvd
City
State
Zip
92104
Phone Number
619-543-4500
Fax Number
619-294-2979
person
Provider Business Mailing Address Details
Address
1940 El Cajon Blvd
City
State
Zip
92104
Phone Number
619-543-4500
Fax Number
619-294-2979
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
()
Definition
Definition to come...
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