Healthcare Provider Details

I. General information

NPI: 1831979657
Provider Name (Legal Business Name): WHOLE PERSON CARE MEDICAL GROUP INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2023
Last Update Date: 06/20/2024
Certification Date: 06/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 N ASH ST
ESCONDIDO CA
92027-3058
US

IV. Provider business mailing address

120 N ASH ST
ESCONDIDO CA
92027-3058
US

V. Phone/Fax

Practice location:
  • Phone: 760-385-3739
  • Fax: 888-800-8226
Mailing address:
  • Phone: 760-385-3739
  • Fax: 888-800-8226

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JENNIFER PAMELA COHEN
Title or Position: CEO
Credential: MD
Phone: 858-822-8773