Organization · Type 2 NPI

Passport Health

Clinic/Center · San Diego, CA

NPI number 1578896486 Active

Practice location

2525 Camino Del Rio S Ste 325
San Diego, CA 92108-3784

Fax (619) 293-3936

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).

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About NPI 1578896486

Passport Health's National Provider Identifier is 1578896486, issued on Sep 9, 2009. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in San Diego, CA. The record was last updated on Sep 10, 2009.