San Diego Professional Group, P. C.
San Diego Professional Group, P. C. is an Addiction (Substance Use Disorder) Psychologist in Aliso Viejo, California. Licensed in California. Registered with an NPI since 2016.
- Licensed in
- CA
- In the registry since
- 2016
- Specialties on file
- 3
Practice location Address checks out
24552 Pacific Park DrAliso Viejo, CA 92656-3033
Phone: (615) 727-8416
Fax: (615) 457-8094
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction Medicine (Psychiatry & Neurology) Physician (primary) | Taxonomy 2084A0401X · Licence 20A6119 (CA) |
|---|---|
| Addiction (Substance Use Disorder) Psychologist | Taxonomy 103TA0400X · Licence 20A6119 (CA) |
| Addiction Medicine (Internal Medicine) Physician | Taxonomy 207RA0401X · Licence 20A6119 (CA) |
Record details
| NPI number | 1699220004 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mark Calarco — Facility Ceo · (615) 712-5862 |
| NPI enumerated | August 16, 2016 |
| Last updated in NPPES | August 25, 2021 |
| Certification date | August 25, 2021 |
| Mailing address | 200 Powell Pl, Attn: Legal Department, Brentwood, TN 37027-7514 |
Other providers in Aliso Viejo
-
Risen Warriors Foundation
16B Journey, Aliso Viejo, CA 92656-3317 · (949) 309-6681