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1111 E Washington Ave Suite A,b,g Escondido CA 92025-2226 | |
| (760) 871-0606 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1111 E Washington Ave, Escondido, California |
| Authorized Official Name and Position | Judy Stith (CHIEF ADMINISTRATIVE OFFICER) |
| Authorized Official Contact | 7603232118 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1695 N. Sunrise Way Palm Springs CA 92262 Ph: (760) 323-2118 | 1111 E Washington Ave Suite A,b,g Escondido CA 92025-2226 Ph: (760) 871-0606 |
| NPI Number | 1184267825 |
|---|---|
| Provider Enumeration Date | 10/25/2019 |
| Last Update Date | 07/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184267825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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