| |
1121 E Washington Ave Escondido CA 92025-2214 | |
(760) 871-0606 | |
(760) 871-3534 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1121 E Washington Ave, Escondido, California |
Authorized Official Name and Position | Judy Stith (CHIEF ADMINISTRATIVE OFFICER) |
Authorized Official Contact | 7603232118 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1695 N. Sunrise Way Palm Springs CA 92262 Ph: (760) 323-2118 | 1121 E Washington Ave Escondido CA 92025-2214 Ph: (760) 871-0606 |
NPI Number | 1023349883 |
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Provider Enumeration Date | 01/19/2010 |
Last Update Date | 04/29/2024 |
Medicare PECOS PAC ID | 6002989522 |
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Medicare Enrollment ID | O20240606004190 |
Identifier | Type | State | Issuer |
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1023349883 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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