| Penn Elm Medical Group, Inc. | |
|
488 E Valley Pkwy 411 Escondido CA 92025-3363 | |
| (760) 745-2000 | |
| (760) 745-0451 |
| Full Name | Penn Elm Medical Group, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 488 E Valley Pkwy, Escondido, California |
| Authorized Official Name and Position | Kenneth Alan Altschuler (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7607452000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Penn Elm Medical Group, Inc. 488 E Valley Pkwy 411 Escondido CA 92025-3363 Ph: (760) 745-2000 | Penn Elm Medical Group, Inc. 488 E Valley Pkwy 411 Escondido CA 92025-3363 Ph: (760) 745-2000 |
| NPI Number | 1659349421 |
|---|---|
| Provider Enumeration Date | 03/09/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659349421 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (California) | Primary |
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Escondido Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 255 N Ash St Ste 101, Escondido, CA 92027 Phone: 760-745-5832 Fax: 760-745-7847 | |
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