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 |
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Provider Enumeration Date | 12/13/2023 |
Last Update Date | 12/13/2023 |
Certification Date | 12/13/2023 |
Medicare PECOS PAC ID | 8527411974 |
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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 |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1285033068 PECOS PAC ID: 9436502887 Enrollment ID: I20240201001964 |
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