Healthcare Provider Details

I. General information

NPI: 1649307802
Provider Name (Legal Business Name): NORTH COUNTY HEALTH PROJECT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 08/12/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

605 CROUCH ST BLDG C
OCEANSIDE CA
92054-4415
US

IV. Provider business mailing address

150 VALPREDA RD
SAN MARCOS CA
92069-2973
US

V. Phone/Fax

Practice location:
  • Phone: 760-757-3004
  • Fax: 760-757-4566
Mailing address:
  • Phone: 760-736-6700
  • Fax: 760-736-6782

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: CHERYL PETERSEN
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 760-736-8699