| Centro Medico Del Carmen, A Medical Corporation | |
|
303 S Juniper St Escondido CA 92025-4924 | |
| (760) 480-9051 | |
| (760) 480-9054 |
| Full Name | Centro Medico Del Carmen, A Medical Corporation |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 303 S Juniper St, Escondido, California |
| Authorized Official Name and Position | Thomas Lee Watson (PHYSICIAN) |
| Authorized Official Contact | 7604809051 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centro Medico Del Carmen, A Medical Corporation 303 S Juniper St Escondido CA 92025-4924 Ph: (760) 480-9051 | Centro Medico Del Carmen, A Medical Corporation 303 S Juniper St Escondido CA 92025-4924 Ph: (760) 480-9051 |
| NPI Number | 1093154593 |
|---|---|
| Provider Enumeration Date | 06/18/2013 |
| Last Update Date | 03/07/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093154593 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A52193 (California) | Primary |
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Centro Medico Del Carmen, A Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 303 S Juniper St, Escondido, CA 92025 Phone: 760-480-9051 Fax: 760-480-9054 | |
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