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General NPI Number Information
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NPI Number | 1285523936
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Entity Type | Organization
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Legal Business Name | SOCAL PSYCH SOLUTIONS
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Dates
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Enumeration Date | 06/30/2025
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 1665 UNION ST STE A
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City | SAN DIEGO
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State | CA
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Zip | 92101-2906
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Country | US
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Telephone | 619-663-5344
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Fax | 619-373-9206
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Provider Business Mailing Address
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Address Line | 1199 PACIFIC HWY UNIT 1606
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City | SAN DIEGO
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State | CA
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Zip | 92101-8419
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Country | US
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Telephone | 559-579-8343
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Fax | 619-373-9206
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Authorized Official
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Title or Position | CEO
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Name | ANTHONY FAM
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Credential | MD
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Telephone | 559-579-8343
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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