Provider Demographics
NPI:1386969046
Name:SAN DIEGO COUNTY HHSA
Entity type:Organization
Organization Name:SAN DIEGO COUNTY HHSA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CASE MANAGER COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIONNE
Authorized Official - Middle Name:MENDOZA
Authorized Official - Last Name:ROMANO-AUSTIN
Authorized Official - Suffix:
Authorized Official - Credentials:RN, PHN
Authorized Official - Phone:619-528-4018
Mailing Address - Street 1:6160 MISSION GORGE RD FL 4
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92120-3410
Mailing Address - Country:US
Mailing Address - Phone:619-528-4018
Mailing Address - Fax:619-528-4087
Practice Address - Street 1:6160 MISSION GORGE RD FL 4
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92120-3410
Practice Address - Country:US
Practice Address - Phone:619-528-4018
Practice Address - Fax:619-528-4087
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-06
Last Update Date:2010-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA588792251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management