MEDICARE: DEAF COMMUNITY SERVICES OF SAN DIEGO INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1093940561
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEAF COMMUNITY SERVICES OF SAN DIEGO INC

Provider Business Mailing Address
First Line	:	1240 E PLAZA BLVD STE 604
Second Line	:
City	:	NATIONAL CITY
State	:	CA
Zip	:	91950-3664
Country	:	US
Telephone Number	:	619-376-1697
Fax Number	:

Provider Business Practice Location Address
First Line	:	2240 CLEVELAND AVE
Second Line	:
City	:	NATIONAL CITY
State	:	CA
Zip	:	91950-6412
Country	:	US
Telephone Number	:	619-376-1697
Fax Number	:	619-398-2437

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MS. MONIQUE BALL
Credential	:
Telephone Number	:	619-376-1697

Provider Enumeration Date	:	05/27/2009
Last Update Date	:	02/13/2024

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