Diane L. Hutchison, Md, Inc. | |
477 N El Camino Real Suite D202 Encinitas CA 92024-1328 | |
(760) 634-6922 | |
Not Available |
Full Name | Diane L. Hutchison, Md, Inc. |
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Speciality | Family Medicine |
Location | 477 N El Camino Real, Encinitas, California |
Authorized Official Name and Position | Diane Hutchison (PHYSICIAN) |
Authorized Official Contact | 7606346922 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Diane L. Hutchison, Md, Inc. Po Box 230656 Encinitas CA 92023-0656 Ph: (760) 634-6922 | Diane L. Hutchison, Md, Inc. 477 N El Camino Real Suite D202 Encinitas CA 92024-1328 Ph: (760) 634-6922 |
NPI Number | 1417933029 |
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Provider Enumeration Date | 12/16/2005 |
Last Update Date | 07/21/2022 |
Medicare PECOS PAC ID | 2769413822 |
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Medicare Enrollment ID | O20050829000369 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417933029 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (California) | Primary |
Provider Name | Diane L Hutchison |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1629054234 PECOS PAC ID: 5496786568 Enrollment ID: I20050906000545 |
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