| Medi-cal Hap | |
|
460 N Elm St Escondido CA 92025-3002 | |
| (760) 520-8100 | |
| (760) 737-2039 |
| Full Name | Medi-cal Hap |
|---|---|
| Speciality | General Practice |
| Location | 460 N Elm St, Escondido, California |
| Authorized Official Name and Position | Tracy Ream (CEO) |
| Authorized Official Contact | 7605208375 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medi-cal Hap 425 N Date St Escondido CA 92025-3413 Ph: (760) 737-2035 | Medi-cal Hap 460 N Elm St Escondido CA 92025-3002 Ph: (760) 520-8100 |
| NPI Number | 1295903607 |
|---|---|
| Provider Enumeration Date | 02/19/2008 |
| Last Update Date | 02/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295903607 | NPI | - | NPPES |
| HAP70481F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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