Provider Demographics
NPI:1831583590
Name:SD HEALTH PARTNERS INC
Entity type:Organization
Organization Name:SD HEALTH PARTNERS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LUKE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:760-908-9008
Mailing Address - Street 1:4545 MURPHY CANYON RD.
Mailing Address - Street 2:STE. 214
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-4363
Mailing Address - Country:US
Mailing Address - Phone:858-999-3068
Mailing Address - Fax:858-999-3078
Practice Address - Street 1:4545 MURPHY CANYON RD.
Practice Address - Street 2:STE. 214
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-4363
Practice Address - Country:US
Practice Address - Phone:858-999-3068
Practice Address - Fax:858-999-3078
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-20
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health