Provider Information

Last Updated: Jul 20 2026 3:04 PM
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Rooted Life

City
San Diego
Group
CHPIV-DSNP
Specialty
HOUSING DEPOSITS
Last Name
Rooted Life
Address
864 Grand Ave Ste 802
State
CA
Zip Code
92109
Physician ID
5969391
Certification
N/A
Section Number
NON PROVIDER DIRECTORY FACILITY
County
SAN DIEGO
PPG NAME
ROOTED LIFE
PPG ID
5969386
NPI Number
1679357685
PHY CCT IND
N/A

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