| Organization Name: | SYCUAN TRIBAL GOVERNMENT |
| NPI Number: | 1043218191 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TROY GRAVES (CHIEF FINANCIAL OFFICER) |
| Mailing Address: | 5449 Sycuan Rd El Cajon |
| State: | CA US |
| Postal Code: | 920191821 |
| Phone Number: | 6194454564 |
| Fax Number: | 6194459764 |
| NPI Enumeration Date: | 07/12/2005 |
| NPI Last Update Date: | 05/12/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 1570 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |