MEDICARE: WESTERN HEALTH RESOURCES

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	251E00000X	Home Health Agency	080000085	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588648380
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WESTERN HEALTH RESOURCES

Provider Business Mailing Address
First Line	:	2100 DOUGLAS BLVD
Second Line	:
City	:	ROSEVILLE
State	:	CA
Zip	:	95661-3804
Country	:	US
Telephone Number	:	916-780-2480
Fax Number	:	916-781-2460

Provider Business Practice Location Address
First Line	:	591 CAMINO DE LA REINA
Second Line	:	SUITE 1010 A
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-3102
Country	:	US
Telephone Number	:	619-293-6800
Fax Number	:	619-692-3119

Authorized Official
Title or Position	:	CFO
Name	:	MR. WILLIAM G. WIEDEMANN
Credential	:	CPA
Telephone Number	:	916-780-2480

Provider Enumeration Date	:	12/05/2005
Last Update Date	:	09/23/2014

Similar Medicare Providers

1477538858 — WESTERN HEALTH RESOURCES
Practice Location Address:

591 CAMINO DE LA REINA , SUITE #1010 B
SAN DIEGO, CA
92108-3102

Practice Phone: 619-293-6820
Practice Fax: 619-692-3121

1720008998 — DR. JOSHUA DAVID GOLDEN M.D., F.A.P.A.
Practice Location Address:

591 CAMINO DE LA REINA , STE 1030
SAN DIEGO, CA
92108-3102

Practice Phone: 619-220-0201
Practice Fax:

1184631681 — DR. RALPH MASAYUKI SHISHIDO M.D.
Practice Location Address:

591 CAMINO DE LA REINA , SUITE 200
SAN DIEGO, CA
92108-3102

Practice Phone: 619-325-8748
Practice Fax: 619-325-8732

1770667024 — DR. GAYLIA D. BROWN PH.D.
Practice Location Address:

591 CAMINO DE LA REINA , SUITE 318
SAN DIEGO, CA
92108-3102

Practice Phone: 619-260-0774
Practice Fax:

1710050711 — DR. LINDA HAMMOND PHD, MFT
Practice Location Address:

591 CAMINO DE LA REINA , STE. 918
SAN DIEGO, CA
92108-3102

Practice Phone: 858-729-9986
Practice Fax: 858-456-1380

1174671325 — MRS. RICHARD KASTANIAS SR.
Practice Location Address:

591 CAMINO DE LA REINA , SUITE 918
SAN DIEGO, CA
92108-3102

Practice Phone: 619-417-4923
Practice Fax: 619-294-8190

Directions to “WESTERN HEALTH RESOURCES ” Practice Location

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