Kiley San Martin in La Mesa - Addiction (substance Use Disorder)

Kiley San Martin - NPI 1639210958

Kiley San Martin is a Addiction (substance Use Disorder) in La Mesa, California. Kiley San Martin practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Kiley San Martin is 1639210958. The last update date is 2007-07-08.

Kiley San Martin's current location address is 7200 Parkway Dr, La Mesa, California. You can contact this provider via phone number 6195890552 and fax number 6195890205. The mailing address for Kiley San Martin is 7200 Parkway Dr, La Mesa, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Kiley San Martin
Address 7200 Parkway Dr, La Mesa, California
Phone Number 6195890552
Fax Number 6195890205
Sole Proprietor Y
Credentials CADC

NPI Number Detail

NPI Number 1639210958
Provider Enumeration Date 2007-02-09
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 7200 Parkway Dr
City La Mesa
State California (CA)
Post Code 919421534
Phone Number 6195890552
Fax Number 6195890205

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No A8402702
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Kiley San Martin

What is the unique identifier code issued to Kiley San Martin by the Centers for Medicare & Medicaid Services?

The Kiley San Martin has been assigned the NPI (National Provider Identifier) 1639210958. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Kiley San Martin?

The Kiley San Martin is physically situated at 7200 Parkway Dr, in the city of La Mesa, state of CA, with the postal code 919421534.

What is Kiley San Martin's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Kiley San Martin's specialized field of practice is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of specialization is 101Ya0400X.

When did the Kiley San Martin receive its 1639210958?

The Kiley San Martin was issued its 1639210958 on 2007-02-09, which is the date when the organization was assigned this unique identifier.

When was the information related to Kiley San Martin most recently updated or refreshed?

The details pertaining to the Kiley San Martin, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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