Danicare Family Health, Inc. | |
701 E Grand Ave Ste 100 Escondido CA 92025-4466 | |
(760) 294-8898 | |
(760) 294-8827 |
Full Name | Danicare Family Health, Inc. |
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Speciality | General Practice |
Location | 701 E Grand Ave Ste 100, Escondido, California |
Authorized Official Name and Position | Stephanie K Iem (CEO) |
Authorized Official Contact | 2679732283 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Danicare Family Health, Inc. 935 E Pennsylvania Ave Escondido CA 92025-3425 Ph: (760) 747-7512 | Danicare Family Health, Inc. 701 E Grand Ave Ste 100 Escondido CA 92025-4466 Ph: (760) 294-8898 |
NPI Number | 1023273356 |
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Provider Enumeration Date | 07/25/2008 |
Last Update Date | 09/15/2020 |
Medicare PECOS PAC ID | 9931277761 |
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Medicare Enrollment ID | O20081007000600 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023273356 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 20A9702 (California) | Primary |
Provider Name | Stephanie Iem |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1164684387 PECOS PAC ID: 6709954548 Enrollment ID: I20081007000714 |
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