Healthcare Provider Details

I. General information

NPI: 1598722027
Provider Name (Legal Business Name): AURORA SAN DIEGO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2006
Last Update Date: 07/16/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11878 AVENUE OF INDUSTRY
SAN DIEGO CA
92128-3423
US

IV. Provider business mailing address

11878 AVENUE OF INDUSTRY
SAN DIEGO CA
92128-3423
US

V. Phone/Fax

Practice location:
  • Phone: 858-487-3200
  • Fax: 858-674-4491
Mailing address:
  • Phone: 858-487-3200
  • Fax: 858-674-4491

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License Number
License Number State

VIII. Authorized Official

Name: MR. JAMES S. PLUMMER
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 858-487-3200