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NPI 1669907135

NPI 1669907135 : HERALD CHRISTIAN HEALTH CENTER : SAN DIEGO, CA

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General NPI Number Information
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    NPI Number           |    1669907135
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    Entity Type          |    Organization 
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    Legal Business Name  |    HERALD CHRISTIAN HEALTH CENTER 
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Dates
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    Enumeration Date     |    04/21/2017
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    Last Update Date     |    01/15/2025
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Provider Practice Location Address
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    Address Line         |    7808 CLAIREMONT MESA BLVD 
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    City                 |    SAN DIEGO
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    State                |    CA
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    Zip                  |    92111-1613
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    Country              |    US
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    Telephone            |    858-598-6789
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    Fax                  |    858-598-6720
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Provider Business Mailing Address
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    Address Line         |    3401 AERO JET AVE 
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    City                 |    EL MONTE
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    State                |    CA
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    Zip                  |    91731-2801
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    Country              |    US
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    Telephone            |    626-286-8700
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    Fax                  |    626-286-8650
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Authorized Official
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    Title or Position    |    CHIEF ADMINISTRATIVE OFFICER
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    Name                 |    MS. EMILY  SZETO 
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    Credential           |    
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    Telephone            |    626-286-8700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    261QF0400X
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    Taxonomy Name        |    Federally Qualified Health Center (FQHC)
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    License Number       |    
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    License Number State |    
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