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General NPI Number Information
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NPI Number | 1023553633
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Entity Type | Organization
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Legal Business Name | TRI-CITY HEALTH SERVICES GROUP, INC
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Dates
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Enumeration Date | 01/05/2017
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 6260 EL CAMINO REAL
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City | CARLSBAD
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State | CA
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Zip | 92009-1609
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Country | US
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Telephone | 760-476-2953
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 69
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City | BUFFALO VALLEY
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State | TN
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Zip | 38548-0069
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Country | US
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Telephone | 619-258-6200
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Fax | 619-258-0028
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Authorized Official
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Title or Position | MANAGER
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Name | ELENA M STEMMLER
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Credential | CPC
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Telephone | 619-258-6200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207PE0005X
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Taxonomy Name | Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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