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NPI Code Detail

MEDICARE: AURORA SAN DIEGO LLC

MEDICARE: AURORA SAN DIEGO LLC
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
1283Q00000XPsychiatric Hospital

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598722027
Entity Type Code : Organization
Provider Name (Legal Business Name) : AURORA SAN DIEGO LLC
Provider Business Mailing Address
First Line : 11878 AVENUE OF INDUSTRY
Second Line :
City : SAN DIEGO
State : CA
Zip : 92128-3423
Country : US
Telephone Number : 858-487-3200
Fax Number : 858-674-4491
Provider Business Practice Location Address
First Line : 11878 AVENUE OF INDUSTRY
Second Line :
City : SAN DIEGO
State : CA
Zip : 92128-3423
Country : US
Telephone Number : 858-487-3200
Fax Number : 858-674-4491
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : MR. JAMES S. PLUMMER
Credential :
Telephone Number : 858-487-3200
Provider Enumeration Date : 04/27/2006
Last Update Date : 07/16/2007

Similar Medicare Providers

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Practice Location Address:
11878 AVENUE OF INDUSTRY
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1528167723 — DR. MARIA CORAZON BAUTISTA M.D.
Practice Location Address:
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SAN DIEGO, CA
92128-3423
Practice Phone: 858-722-4779
Practice Fax:
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Practice Location Address:
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Practice Location Address:
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SAN DIEGO, CA
92128-3423
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Practice Fax:
1720344930 — KATHARINA LAURA HILL M.D.
Practice Location Address:
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92128-3423
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Practice Fax: 888-270-2303

Directions to “AURORA SAN DIEGO LLC ” Practice Location

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