Healthcare Provider Details

I. General information

NPI: 1164730404
Provider Name (Legal Business Name): NEXT STEP MEDICAL INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2010
Last Update Date: 11/03/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4171 OCEANSIDE BLVD. SUITE 109
OCEANSIDE CA
92056
US

IV. Provider business mailing address

4171 OCEANSIDE BLVD. SUITE 109
OCEANSIDE CA
92056
US

V. Phone/Fax

Practice location:
  • Phone: 760-216-6253
  • Fax: 760-216-6283
Mailing address:
  • Phone: 760-216-6253
  • Fax: 760-216-6283

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. KARI JILL KNOWLES
Title or Position: PRESIDENT
Credential:
Phone: 760-801-9534