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NPI Code Detail

MEDICARE: CENTER FOR COMMUNITY INTEGRATION SAN DIEGO

MEDICARE: CENTER FOR COMMUNITY INTEGRATION SAN DIEGO
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
1343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1124594817
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTER FOR COMMUNITY INTEGRATION SAN DIEGO
Provider Business Mailing Address
First Line : 6602 EL CAJON BLVD STE B
Second Line :
City : SAN DIEGO
State : CA
Zip : 92115-2803
Country : US
Telephone Number : 619-254-2771
Fax Number :
Provider Business Practice Location Address
First Line : 6602 EL CAJON BLVD STE B
Second Line :
City : SAN DIEGO
State : CA
Zip : 92115-2803
Country : US
Telephone Number : 619-254-2771
Fax Number :
Authorized Official
Title or Position : CEO
Name : STARLIN M SHIRE
Credential :
Telephone Number : 619-254-2771
Provider Enumeration Date : 10/19/2018
Last Update Date : 01/26/2021

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Directions to “CENTER FOR COMMUNITY INTEGRATION SAN DIEGO ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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