Healthcare Provider Details

I. General information

NPI: 1073632899
Provider Name (Legal Business Name): HEALTH AND HUMAN SERVICES AGENCY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

855 E MADISON AVE
EL CAJON CA
92020-3819
US

IV. Provider business mailing address

2857 DREW LN
LEMON GROVE CA
91945-2737
US

V. Phone/Fax

Practice location:
  • Phone: 619-441-6526
  • Fax:
Mailing address:
  • Phone:
  • Fax: 619-441-6532

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: ALMA AGUIRRE
Title or Position: SOCIAL SERVICES AIDE
Credential:
Phone: 619-441-6526