Organization

Ktre1, Llc

Alzheimer Center (Dementia Center) in San Diego, CA(View on Map)

Legal Business Name

Ktre1, Llc

NPI Number

1821641507

NPI Type

Organization

Enumeration Date

07/22/2019

Specialties

(Taxonomies)

Code

311500000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

3219 CANON ST
3219 CANON ST

City

San Diego
San Diego

State

CA
CA

Postal Code

92106-2512
92106-2512

Country

US
US

Telephone Number

(619) 225-5616
(619) 225-5616

Authorized Official

Name

Maria Flores

Title or Position

MANAGER

Telephone Number

(619) 225-5616

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

jeffrey@bayviewpointloma.com

Endpoint Description

work email

Use

Direct

Content Type

CSV

Affiliation

N

Endpoint Location

3219 Canon StSan Diego, CA921062512US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/22/2019

Provider Address

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