| |
488 E Valley Pkwy Ste 404 Escondido CA 92025-3379 | |
(760) 690-5900 | |
Not Available |
Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 488 E Valley Pkwy Ste 404, Escondido, California |
Authorized Official Name and Position | Rakesh Patel (CEO) |
Authorized Official Contact | 7605208300 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
425 N Date St Escondido CA 92025-3413 Ph: (760) 737-6960 | 488 E Valley Pkwy Ste 404 Escondido CA 92025-3379 Ph: (760) 690-5900 |
NPI Number | 1932622446 |
---|---|
Provider Enumeration Date | 07/18/2017 |
Last Update Date | 04/16/2020 |
Medicare PECOS PAC ID | 5294649406 |
---|---|
Medicare Enrollment ID | O20190319002475 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932622446 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Rady Children's Hospital San Diego Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 625 W Citracado Pkwy, Suite 102, Escondido, CA 92025 Phone: 760-294-9270 Fax: 760-294-9268 | |
Danicare Family Health, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 701 E Grand Ave Ste 100, Escondido, CA 92025 Phone: 760-294-8898 Fax: 760-294-8827 | |
Clinica Familia De Santa Maria Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 935 E Pennsylvania Ave, Escondido, CA 92025 Phone: 760-747-7512 | |
Planned Parenthood Of The Pacific Southwest Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 347 W Mission Ave, Escondido, CA 92025 Phone: 760-738-7770 | |
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 |