Provider Demographics
NPI:1083492615
Name:SAN DIEGO REGIONAL HEALTH INFORMATION EXCHANGE
Entity Type:Organization
Organization Name:SAN DIEGO REGIONAL HEALTH INFORMATION EXCHANGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF TECHNOLOGY OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:NIC
Authorized Official - Middle Name:
Authorized Official - Last Name:HESS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-736-4543
Mailing Address - Street 1:3860 CALLE FORTUNADA STE 101
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-4802
Mailing Address - Country:US
Mailing Address - Phone:858-379-6690
Mailing Address - Fax:
Practice Address - Street 1:3860 CALLE FORTUNADA STE 101
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-4802
Practice Address - Country:US
Practice Address - Phone:858-379-6690
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-15
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247000000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Health InformationGroup - Single Specialty