Healthcare Provider Details

I. General information

NPI: 1699831248
Provider Name (Legal Business Name): IMMEDIATE FAMILY MEDICAL CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

860 W VALLEY PKWY STE. 150
ESCONDIDO CA
92025-2534
US

IV. Provider business mailing address

860 W VALLEY PKWY STE. 150
ESCONDIDO CA
92025-2534
US

V. Phone/Fax

Practice location:
  • Phone: 760-740-0707
  • Fax: 760-735-3235
Mailing address:
  • Phone: 760-740-0707
  • Fax: 760-735-3235

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License NumberG55316
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License NumberG85673
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License NumberG61858
License Number StateCA

VIII. Authorized Official

Name: DR. FREDERICK C. ARBENZ
Title or Position: OWNER
Credential: M.D.
Phone: 760-740-0707