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Home Avenue Ctc
Health Service Clinic/Center in San Diego, California
NPI 1770944027

Home Avenue Ctc is a Health Service Clinic/Center based in San Diego, CA and is specialized in Health Service. Home Avenue Ctc practices in San Diego, CA. The NPI Number for Home Avenue Ctc is 1770944027 and holds a License No. C0502041556 (California).

The current practice location address for Home Avenue Ctc is 3940 Home Ave, San Diego, CA and can be reached out via phone at 619-282-8000 and via fax at 619-718-9897.

Location: 3940 Home Ave, San Diego, CA, 92105-5952
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770944027
Provider Name
Home Avenue Ctc
Credential
Provider Entity Type
Organization
Address
3940 Home Ave, San Diego, CA, 92105-5952
Phone Number
619-282-8000
Fax Number
619-718-9897
Provider Enumeration Date
03/15/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C0502041556 01 CA CCAPP
institution
Provider Business Practice Location Address Details
Address
3940 Home Ave
City
San Diego
State
California
Zip
92105-5952
Phone Number
619-282-8000
Fax Number
619-718-9897
person
Provider Business Mailing Address Details
Address
3940 Home Ave
City
San Diego
State
California
Zip
92105-5952
Phone Number
619-282-8000
Fax Number
619-718-9897
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
261QH0100X
License No.
C0502041556 (California)
Definition
Definition to come...
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