| 1 True Health - California Pc | |
|
4320 Viewridge Ave Ste C San Diego CA 92123-1690 | |
| (800) 758-7571 | |
| Not Available |
| Full Name | 1 True Health - California Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4320 Viewridge Ave Ste C, San Diego, California |
| Authorized Official Name and Position | Travis Owen (CFO) |
| Authorized Official Contact | 3853779352 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 1 True Health - California Pc 1968 S Coast Hwy # 228 Laguna Beach CA 92651-3681 Ph: () - | 1 True Health - California Pc 4320 Viewridge Ave Ste C San Diego CA 92123-1690 Ph: (800) 758-7571 |
| NPI Number | 1033959770 |
|---|---|
| Provider Enumeration Date | 05/30/2024 |
| Last Update Date | 09/11/2024 |
| Medicare PECOS PAC ID | 9537605779 |
|---|---|
| Medicare Enrollment ID | O20240723004369 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033959770 | NPI | - | NPPES |
| Provider Name | Charles B Owen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093767436 PECOS PAC ID: 8325021660 Enrollment ID: I20040609000371 |
| Provider Name | Raymond Lee Chilton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427085497 PECOS PAC ID: 9032193404 Enrollment ID: I20040614001600 |
| Provider Name | Andrew Desjardins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396713103 PECOS PAC ID: 0244213882 Enrollment ID: I20240723004513 |
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