San Diego Center for Recreation, Inc.
Clinic/Center (Adult Mental Health)

Address: 4535 Quantico Ave, San Diego, CA 92117-3831
Phone: 8588827872

San Diego Center for Recreation, Inc. (NPI# 1376165688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1376165688
Entity Type Organization
Organization Name SAN DIEGO CENTER FOR RECREATION, INC.
Practice Address 4535 Quantico Ave
San Diego
CA 92117-3831
Practice Telephone 8588827872
Mailing Address Po Box 17369
San Diego
CA 92177-7369
Authorized Official Name Jeannette M Gilmore (OWNER)
Authorized Official Telephone 8588827872
Authorized Official Credential LMFT
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-05-08
Last Update Date 2020-05-08

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 261QM0850X Clinic/Center · Adult Mental Health Ambulatory Health Care Facilities

Secondary Practice Locations

Address Telephone Number Fax Number
5252 Balboa Ave Ste 304, San Diego, CA 921176942 8588827872

Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Notes: [7/1/2003: new]

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Office Location

Street Address 4535 QUANTICO AVE
City SAN DIEGO
State CA
Zip Code 92117-3831

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154956050 Enbara Corporation Dentist 5189 Clairmont Mesa Blvd, San Diego, CA 92117 2020-03-11
1568956050 Lourdes C Villagran Case Manager/Care Coordinator 4474 Charger Blvd, San Diego, CA 92117 2018-06-18
1750893509 Dzendzel Family Chiropractic Chiropractor 3650 Clairemont Drive, Ste 2, San Diego, CA 92117 2017-11-02
1205355401 Alan Ford Counselor 4150 Ute Dr., San Diego, CA 92117 2017-09-19
1780101238 Allison Dawn Heeney Occupational Therapist 3386 Hopi Place, San Diego, CA 92117 2017-08-25
1275074379 Rachel Gabrielle Packer Counselor 5252 Balboa Ave Ste 801, San Diego, CA 92117 2017-03-09
1316482995 Lisa Graff-marsh, Inc. Social Worker 4985 Park Rim Dr., San Diego, CA 92117 2017-01-05
1417408949 Markos and Markos 1 Inc Private Vehicle 4495 Clairemont Mesa Blvd, San Diego, CA 92117 2016-10-19
1801341813 Huynh and Habashi Dental Corporation Dentist 2995 Clairemont Dr, Suite A, San Diego, CA 92117 2016-08-19
1184076077 Tammy Monck Optometrist 3952 Clairemont Mesa Blvd Ste I, San Diego, CA 92117 2016-07-05
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Competitor

Search similar providers

City SAN DIEGO
Zip Code 92117

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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