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2185 Citracado Pkwy Escondido CA 92029-4159 | |
(442) 281-5000 | |
Not Available |
Full Name | |
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Speciality | General Acute Care Hospital |
Location | 2185 Citracado Pkwy, Escondido, California |
Authorized Official Name and Position | Diane Hansen (PRESIDENT AND CEO) |
Authorized Official Contact | 4422815000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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2125 Citracado Pkwy Ste 300 Escondido CA 92029-4159 Ph: () - | 2185 Citracado Pkwy Escondido CA 92029-4159 Ph: (442) 281-5000 |
NPI Number | 1457321317 |
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Provider Enumeration Date | 01/24/2006 |
Last Update Date | 05/26/2022 |
Medicare PECOS PAC ID | 0840325767 |
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Medicare Enrollment ID | O20110330000785 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457321317 | NPI | - | NPPES |
ZZT30115F | Medicaid | CA | |
HSC30115F | Medicaid | CA | |
ZZT40115F | Medicaid | CA |
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