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NPI Code Detail

MEDICARE: PALOMAR HEALTH

MEDICARE: PALOMAR HEALTH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QU0200XUrgent Care Clinic/Center

General Provider Information

NPI Number : 1437602703
Entity Type Code : Organization
Provider Name (Legal Business Name) : PALOMAR HEALTH
Provider Business Mailing Address
First Line : 456 E GRAND AVE
Second Line :
City : ESCONDIDO
State : CA
Zip : 92025-3319
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1509 E VALLEY PKWY
Second Line :
City : ESCONDIDO
State : CA
Zip : 92027-2315
Country : US
Telephone Number : 888-738-2452
Fax Number :
Authorized Official
Title or Position : PRESIDENT AND CEO
Name : DIANE HANSEN
Credential :
Telephone Number : 760-740-6385
Provider Enumeration Date : 08/03/2016
Last Update Date : 09/23/2019

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Directions to “PALOMAR HEALTH ” Practice Location

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