institution
St. Vincent De Paul Village, Inc
Health Service Clinic/Center in San Diego, California
NPI 1659415131

St. Vincent De Paul Village, Inc is a Health Service Clinic/Center based in San Diego, CA and is specialized in Health Service. St. Vincent De Paul Village, Inc practices in San Diego, CA. The NPI Number for St. Vincent De Paul Village, Inc is 1659415131 and holds a License No. (California).

The current practice location address for St. Vincent De Paul Village, Inc is 1501 Imperial Ave, San Diego, CA and can be reached out via phone at 619-233-8500 and via fax at 619-645-6470. You can also correspond with St. Vincent De Paul Village, Inc through the mailing address at 3350 E ST, SAN DIEGO, CA - 92102-3332 (mailing address contact number: 619-233-8500).

Location: 1501 Imperial Ave, San Diego, CA, 92102-3332
institution
Provider Profile Details
NPI Number
1659415131
Provider Name
St. Vincent De Paul Village, Inc
Credential
Provider Entity Type
Organization
Address
1501 Imperial Ave, San Diego, CA, 92102-3332
Phone Number
619-233-8500
Fax Number
619-645-6470
Provider Enumeration Date
02/16/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CMM70389F 05 CA
institution
Provider Business Practice Location Address Details
Address
1501 Imperial Ave
City
State
Zip
92101-7638
Phone Number
619-233-8500
Fax Number
619-645-6470
person
Provider Business Mailing Address Details
Address
1501 Imperial Ave
City
State
Zip
92101-7638
Phone Number
619-233-8500
Fax Number
619-645-6470
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
09000297 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
License No.
()
Definition
Definition to come...
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