Healthcare Provider Details

I. General information

NPI: 1427189042
Provider Name (Legal Business Name): NOBLE HEALTH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9834 GENESEE AVE SUITE 221
LA JOLLA CA
92037-1223
US

IV. Provider business mailing address

4670 TELESCOPE AVE
CARLSBAD CA
92008-3764
US

V. Phone/Fax

Practice location:
  • Phone: 858-455-5307
  • Fax: 858-455-5202
Mailing address:
  • Phone: 858-455-5307
  • Fax: 858-455-5202

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number20A6318
License Number StateCA

VIII. Authorized Official

Name: DR. MELISSA NOBLE
Title or Position: PRESIDENT
Credential: D.O.
Phone: 858-455-5307