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1260 E Ohio Ave Escondido CA 92027-3054 | |
| (790) 746-1100 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 1260 E Ohio Ave, Escondido, California |
| Authorized Official Name and Position | David Birdsall (CHIEF OPERATIONS OFFICER) |
| Authorized Official Contact | 5103502600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1601 Cummins Dr Ste D Modesto CA 95358-6411 Ph: (510) 350-2600 | 1260 E Ohio Ave Escondido CA 92027-3054 Ph: (790) 746-1100 |
| NPI Number | 1093196925 |
|---|---|
| Provider Enumeration Date | 06/16/2015 |
| Last Update Date | 03/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093196925 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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