| Highland Industries | |
|
110 S Main Ave Fallbrook CA 92028-2847 | |
| (760) 990-3378 | |
| Not Available |
| Full Name | Highland Industries |
|---|---|
| Speciality | Social Worker |
| Location | 110 S Main Ave, Fallbrook, California |
| Authorized Official Name and Position | Gabriel Davis (OWNER) |
| Authorized Official Contact | 7609903378 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Highland Industries 120 S Main Ave Fallbrook CA 92028-2847 Ph: () - | Highland Industries 110 S Main Ave Fallbrook CA 92028-2847 Ph: (760) 990-3378 |
| NPI Number | 1801664487 |
|---|---|
| Provider Enumeration Date | 12/13/2023 |
| Last Update Date | 12/13/2023 |
| Certification Date | 12/13/2023 |
| Medicare PECOS PAC ID | 8527411974 |
|---|---|
| Medicare Enrollment ID | O20240201001416 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801664487 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Gabriel Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285033068 PECOS PAC ID: 9436502887 Enrollment ID: I20240201001964 |
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