Healthcare Provider Details
I. General information
NPI: 1619832656
Provider Name (Legal Business Name): SAN DIEGO COMFORT CARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/22/2025
Last Update Date: 12/22/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3778 ALTA LOMA DR
JAMUL CA
91935
US
IV. Provider business mailing address
9655 GRANITE RIDGE DR STE 200
SAN DIEGO CA
92123-2676
US
V. Phone/Fax
- Phone: 619-877-6626
- Fax:
- Phone: 619-877-6626
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MICHAEL
NEF
Title or Position: OWNER/COO
Credential:
Phone: 614-309-2450