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General NPI Number Information
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NPI Number | 1033959770
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Entity Type | Organization
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Legal Business Name | 1 TRUE HEALTH - CALIFORNIA PC
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Dates
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Enumeration Date | 05/30/2024
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 4320 VIEWRIDGE AVE STE C
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City | SAN DIEGO
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State | CA
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Zip | 92123-1690
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Country | US
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Telephone | 833-313-9509
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Fax |
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Provider Business Mailing Address
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Address Line | 1968 S COAST HWY # 228
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City | LAGUNA BEACH
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State | CA
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Zip | 92651-3681
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | TRAVIS OWEN
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Credential |
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Telephone | 385-377-9352
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal 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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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