Healthcare Provider Details

I. General information

NPI: 1992033187
Provider Name (Legal Business Name): JANET FISCHER, M.D. INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/26/2009
Last Update Date: 11/26/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2236 ENCINITAS BLVD SUITE C
ENCINITAS CA
92024-4352
US

IV. Provider business mailing address

2236 ENCINITAS BLVD SUITE C
ENCINITAS CA
92024-4352
US

V. Phone/Fax

Practice location:
  • Phone: 760-944-6764
  • Fax: 760-557-2064
Mailing address:
  • Phone: 760-944-6764
  • Fax: 760-557-2064

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA89318
License Number StateCA

VIII. Authorized Official

Name: DR. JANET FISCHER
Title or Position: OWNER
Credential: M.D.
Phone: 760-944-6764