| |
555 E Valley Pkwy Escondido CA 92025-3048 | |
(760) 739-3000 | |
Not Available |
Full Name | |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 555 E Valley Pkwy, Escondido, California |
Authorized Official Name and Position | David Birdsall (CHIEF OPERATIONS OFFICER) |
Authorized Official Contact | 5103502600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
1601 Cummins Dr Ste D Modesto CA 95358-6411 Ph: (510) 350-2600 | 555 E Valley Pkwy Escondido CA 92025-3048 Ph: (760) 739-3000 |
NPI Number | 1497100499 |
---|---|
Provider Enumeration Date | 04/27/2016 |
Last Update Date | 01/02/2020 |
Certification Date | 01/02/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497100499 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Cep America - Neurology Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2185 Citracado Pkwy, Escondido, CA 92029 Phone: 442-281-5000 | |
Milestones Children's Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1785 S Escondido Blvd Ste A, Escondido, CA 92025 Phone: 760-740-0055 | |