| Palomar Pomerado Gastroenterology Medical Group, Inc. | |
|
225 E 2nd Ave Suite 340 Escondido CA 92025-4212 | |
| (760) 489-0908 | |
| (760) 489-0962 |
| Full Name | Palomar Pomerado Gastroenterology Medical Group, Inc. |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 225 E 2nd Ave, Escondido, California |
| Authorized Official Name and Position | Mark Leland Kadden (PRESIDENT) |
| Authorized Official Contact | 7604890908 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palomar Pomerado Gastroenterology Medical Group, Inc. 225 E 2nd Ave Suite 340 Escondido CA 92025-4212 Ph: (760) 489-0908 | Palomar Pomerado Gastroenterology Medical Group, Inc. 225 E 2nd Ave Suite 340 Escondido CA 92025-4212 Ph: (760) 489-0908 |
| NPI Number | 1609903822 |
|---|---|
| Provider Enumeration Date | 02/27/2007 |
| Last Update Date | 10/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609903822 | NPI | - | NPPES |
| GR0042800 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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