Provider Demographics
NPI:1013731538
Name:COUNTY OF SAN DIEGO
Entity type:Organization
Organization Name:COUNTY OF SAN DIEGO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIORAL HLTH PROGRAM COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:GISELLE
Authorized Official - Last Name:DAUZ
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:619-577-0231
Mailing Address - Street 1:5101 MARKET ST STE 2100
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92114-2224
Mailing Address - Country:US
Mailing Address - Phone:858-351-6400
Mailing Address - Fax:
Practice Address - Street 1:5101 MARKET ST STE 2100
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92114-2224
Practice Address - Country:US
Practice Address - Phone:619-577-0231
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY OF SAN DIEGO
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-11-12
Last Update Date:2025-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA3787Medicaid