Healthcare Provider Details

I. General information

NPI: 1306269568
Provider Name (Legal Business Name): CAGE MOTION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2014
Last Update Date: 01/23/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5670 EL CAMINO REAL STE F
CARLSBAD CA
92008-7125
US

IV. Provider business mailing address

5670 EL CAMINO REAL STE F
CARLSBAD CA
92008-7125
US

V. Phone/Fax

Practice location:
  • Phone: 760-602-0262
  • Fax:
Mailing address:
  • Phone: 760-602-0262
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number
License Number State

VIII. Authorized Official

Name: ANDREW OSBORNE
Title or Position: OWNER
Credential:
Phone: 760-602-0262