MEDICARE: UHS OUTPATIENT CA LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	261QM0850X	Adult Mental Health Clinic/Center
2	261QM0855X	Adolescent and Children Mental Health Clinic/Center
3	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1841052040
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UHS OUTPATIENT CA LLC

Provider Business Mailing Address
First Line	:	3838 CAMINO DEL RIO N STE 380
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-1764
Country	:	US
Telephone Number	:	800-931-4646
Fax Number	:

Provider Business Practice Location Address
First Line	:	3838 CAMINO DEL RIO N STE 380
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-1764
Country	:	US
Telephone Number	:	800-931-4646
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	STEVE FILTON
Credential	:
Telephone Number	:	610-768-3300

Provider Enumeration Date	:	01/24/2024
Last Update Date	:	01/24/2024

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Directions to “UHS OUTPATIENT CA LLC ” Practice Location

Language	Start Address	Practice Location

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