Healthcare Provider Details

I. General information

NPI: 1316434079
Provider Name (Legal Business Name): GLOBAL ONE VENTURES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2018
Last Update Date: 04/20/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6125 PASEO DEL NORTE STE 210
CARLSBAD CA
92011-1113
US

IV. Provider business mailing address

6125 PASEO DEL NORTE STE 210
CARLSBAD CA
92011-1113
US

V. Phone/Fax

Practice location:
  • Phone: 760-602-7872
  • Fax: 760-602-7873
Mailing address:
  • Phone: 760-602-7872
  • Fax: 760-602-7873

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MARK R SICHLEY
Title or Position: NETWORK COORDINATOR
Credential:
Phone: 760-602-7872