Healthcare Provider Details

I. General information

NPI: 1598487571
Provider Name (Legal Business Name): PACIFIC VIEW OB-GYN MEDICAL GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2022
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2067 W VISTA WAY STE 200
VISTA CA
92083-6033
US

IV. Provider business mailing address

6260 EL CAMINO REAL STE 105
CARLSBAD CA
92009-1609
US

V. Phone/Fax

Practice location:
  • Phone: 760-475-2929
  • Fax: 760-476-2930
Mailing address:
  • Phone: 760-476-2929
  • Fax: 760-476-2930

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: DEANINE DOLPHIN
Title or Position: BILLING & COLLECTION MANAGER
Credential:
Phone: 760-729-0000