Provider Demographics
NPI:1083039861
Name:ACCESS TO INDEPENDENCE OF SAN DIEGO INC.
Entity Type:Organization
Organization Name:ACCESS TO INDEPENDENCE OF SAN DIEGO INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:
Authorized Official - Last Name:FRICK
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:619-293-3500
Mailing Address - Street 1:8885 RIO SAN DIEGO DR
Mailing Address - Street 2:SUITE 131
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-1624
Mailing Address - Country:US
Mailing Address - Phone:619-293-3500
Mailing Address - Fax:619-704-2054
Practice Address - Street 1:8885 RIO SAN DIEGO DR
Practice Address - Street 2:SUITE 131
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-1624
Practice Address - Country:US
Practice Address - Phone:619-293-3500
Practice Address - Fax:619-704-2054
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-03
Last Update Date:2014-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management