Home Avenue Ctc

LBN: Home Avenue Ctc
Home Avenue Ctc is an health care organization with primary practice located at 3940 Home Ave , San Diego CA 92105-5952. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Home Avenue Ctc can be contacted via phone (619) 282-8000, or through Gachupin, Kristal via phone (619) 282-8000.

Contact Information

Primary practice address
3940 Home Ave San Diego CA 92105-5952
Phone: (619) 282-8000
Fax: (619) 718-9897
Website:
Map and Directions
Authorized official contact:
Name: Gachupin, Kristal CATC
Phone: (619) 282-8000

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X C0502041556 California

Profile Details

NPI number 1770944027
LBN Legal business name Home Avenue Ctc
DBA Doing business as
Authorized official Gachupin, Kristal CATC
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2016
Last updated Mar 15th, 2016 - about 9 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 1770944027 NPPES
California Other C0502041556 CCAPP

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