Organization · Type 2 NPI

Spacienda

Clinic/Center · San Diego, CA

NPI number 1184306805 Active

Practice location

5222 Balboa Ave Ste 43
San Diego, CA 92117-6956

Call (619) 389-2047 Map

Mailing address

975 Thermal Ave
San Diego, CA 92154-1924

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone 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).

4 other providers at this address

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About NPI 1184306805

Spacienda's National Provider Identifier is 1184306805, issued on Aug 2, 2023. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in San Diego, CA. The record was last updated on Aug 2, 2023.