El Dorado Community Community Center

LBN: El Dorado Community Community Center
El Dorado Community Community Center is an health care organization with primary practice located at 1733 Euclid Ave , San Diego CA 92105-5414. The organization recently has 2 registered licenses in different health care specialties including Agencies / Case Management, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Agencies / Case Management is the primary health care specialty. El Dorado Community Community Center can be contacted via phone (619) 263-0433, or through Flores, Lorna L via phone (424) 227-7971.

Contact Information

Primary practice address
1733 Euclid Ave San Diego CA 92105-5414
Fax:
Website:
Authorized official contact:
Name: Flores, Lorna L

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X 3720 California
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1386010635
LBN Legal business name El Dorado Community Community Center
DBA Doing business as
Authorized official Flores, Lorna L
Entity Organization
Organization subpart 1 No
Enumeration date Aug 20th, 2015
Last updated Dec 31st, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386010635 NPPES
California MEDICAID 8562

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