ProviderBusinessMailingAddressFaxNumber = '8585212001'
| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1720155542 | CHAROEN | DON | | | 16950 VIA TAZON | SAN DIEGO | CA | 921271607 |
| 1902816390 | HEATON | J. | BEN | | 16950 VIA TAZON | SAN DIEGO | CA | 921271607 |
| 1720288855 | HIPPEN | RACHELLE | M | | 16950 VIA TAZON | SAN DIEGO | CA | 921271607 |
| 1013929900 | JARAICIE | ELIAS | | | 16950 VIA TAZON | SAN DIEGO | CA | 921271607 |
| 1063480671 | SILVERMAN | GLENN | | | 16950 VIA TAZON | SAN DIEGO | CA | 921271607 |
| 1336152909 | SMITH | DANIEL | M | | 16950 VIA TAZON | SAN DIEGO | CA | 921271607 |
| 1215031752 | YPHANTIDES | THEOPHILOS | ELIAS | | 16950 VIA TAZON | SAN DIEGO | CA | 921271607 |
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