Organization · Type 2 NPI
Clinica San Diego Inc
Primary Care Clinic/Center · Phoenix, AZ
NPI number
1891019022
Active
Practice location
4245 N 19th Ave
Phoenix, AZ 85015-5109
Mailing address
8026 W Luke Ave
Glendale, AZ 85303-5166
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 33819 (AZ) |
Primary Care Clinic/Center: Definition to come...
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About NPI 1891019022
Clinica San Diego Inc's National Provider Identifier is 1891019022, issued on Mar 17, 2010. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Phoenix, AZ. The record was last updated on Mar 17, 2010.