Healthcare Provider Details
I. General information
NPI: 1104739903
Provider Name (Legal Business Name): HYPERBARIC CENTERS OF SOUTHERN CALIFORNIA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
200 N ASH ST STE 107
ESCONDIDO CA
92027-3024
US
IV. Provider business mailing address
200 N ASH ST STE 107
ESCONDIDO CA
92027-3024
US
V. Phone/Fax
- Phone: 760-637-6270
- Fax:
- Phone: 760-637-6270
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
TIFFANY
RAINEY
Title or Position: OWNER
Credential:
Phone: 208-200-6606