Vericare Of California Medical Group in San Diego - Clinical

Vericare Of California Medical Group - NPI 1104879980

Vericare Of California Medical Group is a Clinical in San Diego, California. Vericare Of California Medical Group practices all healthcare services and medical treatments related to Clinical. The NPI Number for Vericare Of California Medical Group is 1104879980. The last update date is 2016-02-26.

Vericare Of California Medical Group's current location address is 4715 Viewridge Ave, San Diego, California. You can contact this provider via phone number 8002578715 and fax number 8008191655. The mailing address for Vericare Of California Medical Group is 4715 Viewridge Ave, San Diego, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Vericare Of California Medical Group
Address 4715 Viewridge Ave, San Diego, California
Phone Number 8002578715
Fax Number 8008191655
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ASSISTANT
Authorized Official Name Voit O Bennett
Telephone Number 8002578715

NPI Number Detail

NPI Number 1104879980
Provider Enumeration Date 2006-05-19
Last Updated Date 2016-02-26

Provider Mailing Address Detail

Address 4715 Viewridge Ave
City San Diego
State California (CA)
Post Code 921231680
Phone Number 8002578715
Fax Number 8008191655

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
GPS000150 CA --
CC7816 CA RAIL ROAD MEDICARE

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FAQs about Vericare Of California Medical Group

What is the unique 10-digit identification code issued to Vericare Of California Medical Group by the Centers for Medicare & Medicaid Services?

The Vericare Of California Medical Group has been assigned the NPI (National Provider Identifier) 1104879980 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Can you provide the Vericare Of California Medical Group's physical address?

The Vericare Of California Medical Group is physically located at 4715 Viewridge Ave, in the city of San Diego, CA, with the postal code 921231680.

What is Vericare Of California Medical Group's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Vericare Of California Medical Group's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.

On what date did the Vericare Of California Medical Group receive the assignment of its 1104879980 from the Centers for Medicare & Medicaid Services?

The Vericare Of California Medical Group was issued its 1104879980 by the Centers for Medicare & Medicaid Services on 2006-05-19.

When was the information regarding Vericare Of California Medical Group most recently updated?

The details pertaining to the Vericare Of California Medical Group, including its address, specialty, and other relevant information, were last refreshed on 2016-02-26.

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