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Southern Indian Health Council — NPI 1902562416, Boulevard, CA | NPI Central

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NPI 1902562416

OrganizationActive

Southern Indian Health Council

NPI 1902562416 · Comprehensive Outpatient Rehabilitation Facility (CORF) · Boulevard, CA

Provider details

NPI number: 1902562416
Entity type: Organization
Primary specialty: Comprehensive Outpatient Rehabilitation Facility (CORF)Ambulatory Health Care Facilities
Parent organization: Southern Indian Health Council Inc
Organization subpart: Yes
Authorized official: Marie Dizon, Lead Biller(619) 445-1188

Specialties & taxonomies

Comprehensive Outpatient Rehabilitation Facility (CORF)Primary261QR0401X
Ambulatory Health Care Facilities

Practice location

8 Crestwood Rd

Boulevard, CA 91905-9725

Phone: (619) 445-1188

Approximate (ZIP-level) locationGet directions

More CA providers

Mailing address

8 Crestwood Rd

Boulevard, CA 91905-9725

Other names (DBA / former)

Other name: Sihc Kumeyaay Wellness Center
Other name: Sihc Kumeyaay Wellness Center

Registry dates

Enumerated: 2021-11-10
Last updated: 2024-11-12
Certified: 2024-11-12

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.