DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: PATHFINDERS OF SAN DIEGO

MEDICARE: PATHFINDERS OF SAN DIEGO
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
1324500000XSubstance Abuse Rehabilitation Facility370006ANCA

General Provider Information

NPI Number : 1982108841
Entity Type Code : Organization
Provider Name (Legal Business Name) : PATHFINDERS OF SAN DIEGO
Provider Business Mailing Address
First Line : 2621 UNIVERSITY AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92104-2809
Country : US
Telephone Number : 619-260-1605
Fax Number :
Provider Business Practice Location Address
First Line : 1530 DALE ST
Second Line :
City : SAN DIEGO
State : CA
Zip : 92102-1519
Country : US
Telephone Number : 619-260-1605
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : STEVEN GILBERT STANLEY
Credential :
Telephone Number : 619-666-7826
Provider Enumeration Date : 03/23/2018
Last Update Date : 03/23/2018

Similar Medicare Providers

1518899152 — BRIAN FELIX RADT-T1
Practice Location Address:
1530 DALE ST
SAN DIEGO, CA
92102-1519
Practice Phone: 619-915-5710
Practice Fax:
1790256527 — JACK PAUL TALLY
Practice Location Address:
1530 DALE ST
SAN DIEGO, CA
92102-1519
Practice Phone: 619-915-5710
Practice Fax:
1689262032 — JOHNATHAN MATTHEW RIEHLMAN CADC-II
Practice Location Address:
1530 DALE ST
SAN DIEGO, CA
92102-1519
Practice Phone: 619-915-5710
Practice Fax:
1689248809 — MARTIN MARKS RADT I
Practice Location Address:
1530 DALE ST
SAN DIEGO, CA
92102-1519
Practice Phone: 619-915-5710
Practice Fax: 619-915-5711
1013673268 — CHARLES RICHARD CUMMINGS
Practice Location Address:
1530 DALE ST
SAN DIEGO, CA
92102-1519
Practice Phone: 619-915-5710
Practice Fax:
1447017488 — MARK JUDE RYWELSKI
Practice Location Address:
1530 DALE ST
SAN DIEGO, CA
92102-1519
Practice Phone: 619-915-5710
Practice Fax:

Directions to “PATHFINDERS OF SAN DIEGO ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.