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NPI Code Detail

MEDICARE: VISTA HILL LEARNING ASSISTANCE CENTER- IOP

MEDICARE: VISTA HILL LEARNING ASSISTANCE CENTER- IOP
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
1251S00000XCommunity/Behavioral Health AgencyCA

General Provider Information

NPI Number : 1932350568
Entity Type Code : Organization
Provider Name (Legal Business Name) : VISTA HILL LEARNING ASSISTANCE CENTER- IOP
Provider Business Mailing Address
First Line : 1029 N BROADWAY
Second Line : VISTA HILL LAC - LINCOLN ANNEX
City : ESCONDIDO
State : CA
Zip : 92026-3043
Country : US
Telephone Number : 760-489-4126
Fax Number : 760-489-4129
Provider Business Practice Location Address
First Line : 1029 N BROADWAY
Second Line : VISTA HILL LAC - LINCOLN ANNEX
City : ESCONDIDO
State : CA
Zip : 92026-3043
Country : US
Telephone Number : 760-489-4126
Fax Number : 760-489-4129
Authorized Official
Title or Position : DIRECTOR
Name : DR. DAVID TAYLOR
Credential : PH.D
Telephone Number : 760-489-4126
Provider Enumeration Date : 10/01/2008
Last Update Date : 10/01/2008

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Directions to “VISTA HILL LEARNING ASSISTANCE CENTER- IOP ” Practice Location

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