MEDICARE: VOLUNTEERS OF AMERICA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	324500000X	Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1063052165
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VOLUNTEERS OF AMERICA

Provider Business Mailing Address
First Line	:	2300 EAST 7TH STREET
Second Line	:
City	:	NATIONAL CITY
State	:	CA
Zip	:	91950
Country	:	US
Telephone Number	:	619-232-9343
Fax Number	:

Provider Business Practice Location Address
First Line	:	2300 EAST 7TH STREET, NATIONAL CITY, CA 91950
Second Line	:
City	:	NATIONAL CITY
State	:	CA
Zip	:	91950-9195
Country	:	US
Telephone Number	:	619-232-9343
Fax Number	:

Authorized Official
Title or Position	:	INTAKE SPECIALIST
Name	:	DENNIS MANALOTO ESELLER
Credential	:	BACHELOR'S DEGREE
Telephone Number	:	619-232-9343

Provider Enumeration Date	:	01/07/2020
Last Update Date	:	01/07/2020

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Directions to “VOLUNTEERS OF AMERICA ” Practice Location

Language	Start Address	Practice Location

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