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NPI Code Detail

MEDICARE: WARING COURT PEDIATRIC AND ADULT MEDICAL GROUP

MEDICARE: WARING COURT PEDIATRIC AND ADULT MEDICAL GROUP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianG65272CA
2208000000XPediatrics PhysicianG28877CA
3363AM0700XMedical Physician AssistantPA19297CA
4363AM0700XMedical Physician AssistantPA15228CA
5207Q00000XFamily Medicine PhysicianA113589CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11164483723OTHERCANPI

General Provider Information

NPI Number : 1164483723
Entity Type Code : Organization
Provider Name (Legal Business Name) : WARING COURT PEDIATRIC AND ADULT MEDICAL GROUP
Provider Business Mailing Address
First Line : 3230 WARING CT
Second Line : SUITE J
City : OCEANSIDE
State : CA
Zip : 92056-4509
Country : US
Telephone Number : 760-941-4498
Fax Number : 760-941-6938
Provider Business Practice Location Address
First Line : 3230 WARING CT
Second Line : SUITE J
City : OCEANSIDE
State : CA
Zip : 92056-4509
Country : US
Telephone Number : 760-941-4498
Fax Number : 760-941-6938
Authorized Official
Title or Position : PRACTICE DIRECTOR
Name : EVANNE WILKEY
Credential :
Telephone Number : 760-941-4498
Provider Enumeration Date : 03/31/2006
Last Update Date : 01/07/2025

Similar Medicare Providers

1821431610 — STEWART FIFE WILKEY DO, MPH
Practice Location Address:
3230 WARING CT STE J
OCEANSIDE, CA
92056-4509
Practice Phone: 760-941-4498
Practice Fax: 760-941-6938
1295298859 — JANESSA MARIE ROMERO FNP
Practice Location Address:
3230 WARING CT STE J
OCEANSIDE, CA
92056-4509
Practice Phone: 760-941-4498
Practice Fax:
1649279043 — CATHERINE JEAN LAWSON M.D.
Practice Location Address:
3230 WARING CT STE J
OCEANSIDE, CA
92056-4509
Practice Phone: 760-941-4498
Practice Fax: 760-941-6938
1033170600 — MICHELLE PARTAIN PA-C
Practice Location Address:
3230 WARING CT , SUITE J
OCEANSIDE, CA
92056-4509
Practice Phone: 760-941-4498
Practice Fax:
1063473643 — KEVIN G. MADDEN M.D.
Practice Location Address:
3230 WARING CT , SUITE J
OCEANSIDE, CA
92056-4509
Practice Phone: 760-941-4498
Practice Fax:
1649231218 — DR. VICTOR M. DALFORNO M.D.
Practice Location Address:
3230 WARING CT , SUITE J
OCEANSIDE, CA
92056-4509
Practice Phone: 760-941-4498
Practice Fax: 760-941-6938

Directions to “WARING COURT PEDIATRIC AND ADULT MEDICAL GROUP ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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