Healthcare Provider Details

I. General information

NPI: 1124151360
Provider Name (Legal Business Name): MARGARET G MISSLBECK DEEL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 09/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

593 E ELDER ST STE B
FALLBROOK CA
92028-5000
US

IV. Provider business mailing address

593 E ELDER ST STE B
FALLBROOK CA
92028-5000
US

V. Phone/Fax

Practice location:
  • Phone: 760-723-5900
  • Fax: 760-723-5906
Mailing address:
  • Phone: 760-723-5900
  • Fax: 760-723-5900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberC51529
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: