Healthcare Provider Details

I. General information

NPI: 1760477467
Provider Name (Legal Business Name): JEWISH FAMILY SERVICE OF SAN DIEGO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2005
Last Update Date: 07/21/2022
Certification Date: 11/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8804 BALBOA AVE
SAN DIEGO CA
92123-1506
US

IV. Provider business mailing address

8804 BALBOA AVE
SAN DIEGO CA
92123-1506
US

V. Phone/Fax

Practice location:
  • Phone: 858-637-3000
  • Fax: 858-637-3260
Mailing address:
  • Phone: 858-637-3000
  • Fax: 858-637-3260

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State

VIII. Authorized Official

Name: MRS. JILL SPITZER
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: LCSW
Phone: 858-637-3000