Organization · Type 2 NPI

Connecticut General Life Insurance Company

Clinic/Center · San Diego, CA

NPI number 1053707208 Active

Practice location

8620 Spectrum Center Blvd
San Diego, CA 92123-1406

Call (858) 751-3042 Map

Fax (858) 751-3044

Mailing address

25500 N Norterra Dr
Phoenix, AZ 85085-8200

Specialties and licenses

Taxonomy	Code	License
Clinic/Center Primary	261Q00000X	None listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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NPI record

NPI: 1053707208
Entity type: Organization (Type 2)
Issued: Apr 14, 2015
Last updated: May 11, 2015
Status: Active

Other names

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Cigna Onsite Health Llc, Bridgepoint Education Health&wellness Center · other name

Authorized official

Stacey Popko
Medical Senior Director
(412) 747-4128

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1053707208

Connecticut General Life Insurance Company's National Provider Identifier is 1053707208, issued on Apr 14, 2015. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in San Diego, CA. The record was last updated on May 11, 2015.