Organization · Type 2 NPI

Sonortica Dent All Group, LLC

PACE Provider Organization · San Ysidro, CA

NPI number 1598026379 Active

Practice location

710 E San Ysidro Blvd, Suite 1007
San Ysidro, CA 92173-3123

Fax (619) 785-3404

Mailing address

2043 E Krystal Street
San Luis, AZ 85349

Specialties and licenses

TaxonomyCodeLicense
PACE Provider Organization Primary 251T00000X2394636 (ZZ)

PACE Provider Organization: A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE ser…

3 other providers at this address

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About NPI 1598026379

Sonortica Dent All Group, LLC's National Provider Identifier is 1598026379, issued on Jun 7, 2012. The primary taxonomy on file is PACE Provider Organization (251T00000X), and the practice location is in San Ysidro, CA. The record was last updated on Jun 7, 2012.