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General NPI Number Information
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NPI Number | 1396924205
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Entity Type | Organization
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Legal Business Name | CARDINAL MEDICAL CENTER, INC
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Dates
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Enumeration Date | 10/26/2007
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 31457 LAKE VISTA CIR
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City | BONSALL
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State | CA
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Zip | 92003-5308
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Country | US
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Telephone | 760-717-3450
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Fax |
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Provider Business Mailing Address
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Address Line | 31457 LAKE VISTA CIR
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City | BONSALL
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State | CA
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Zip | 92003-5308
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Country | US
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Telephone | 760-941-8888
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Fax | 760-650-3135
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | GINA PINHIERO
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Credential |
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Telephone | 714-403-0199
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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 | A43808
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | A43808
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License Number State | CA
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