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1053022772 NPI number — THE STEVEN A. COHEN MILITARY FAMILY CLINIC AT VVSD, SAN DIEGO

NPI Number: 1053022772
Health Care Provider/Practitioner: THE STEVEN A. COHEN MILITARY FAMILY CLINIC AT VVSD, SAN DIEGO

Information about “1053022772” NPI (THE STEVEN A. COHEN MILITARY FAMILY CLINIC AT VVSD, SAN DIEGO) exists in 1053022772 in HTML format HTML  |  1053022772 in plain Text format TXT  |  1053022772 in PDF (Portable Document Format) PDF  |  1053022772 in an XML format XML  formats.

NPI Number : 1053022772 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1053022772",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "VIETNAM VETERANS OF SAN DIEGO",
    "ParentOrgTIN": null,
    "OrgName": "THE STEVEN A. COHEN MILITARY FAMILY CLINIC AT VVSD, SAN DIEGO",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "8885 RIO SAN DIEGO DR STE 301",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAN DIEGO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92108-1610",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "619-345-4611",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "8885 RIO SAN DIEGO DR STE 301",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAN DIEGO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92108-1610",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "619-345-4611",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/13/2022",
    "LastUpdateDate": "12/13/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "RETUYA",
    "AuthorizedOfficialFirstName": "ALYSSA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "BUSINESS OFFICE MANAGER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "619-840-0734",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QM0801X",
        "TaxonomyName": "Mental Health Clinic/Center (Including Community Mental Health Center)",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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