| |
1029 N Broadway Vista Hill @ Lincoln Annex Escondido CA 92026-3043 | |
(760) 489-4126 | |
(760) 489-4129 |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 1029 N Broadway, Escondido, California |
Authorized Official Name and Position | David L Taylor (DIRECTOR) |
Authorized Official Contact | 7604894126 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1029 N Broadway Vista Hill @ Lincoln Annex Escondido CA 92026-3043 Ph: (760) 489-4126 | 1029 N Broadway Vista Hill @ Lincoln Annex Escondido CA 92026-3043 Ph: (760) 489-4126 |
NPI Number | 1114125465 |
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Provider Enumeration Date | 07/10/2007 |
Last Update Date | 12/27/2022 |
Certification Date | 12/27/2022 |
Identifier | Type | State | Issuer |
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1114125465 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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