MEDICARE: MRS. ALMA SIAPENGCO UPHOFF REGISTERED NURSE,PUB

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
1	163WC1500X	Community Health Registered Nurse	RN 495591	CA

General Provider Information

NPI Number	:	1487774071
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ALMA SIAPENGCO UPHOFF REGISTERED NURSE,PUB

Provider Business Mailing Address
First Line	:	2651 DUNDEE GLN
Second Line	:
City	:	ESCONDIDO
State	:	CA
Zip	:	92026-8568
Country	:	US
Telephone Number	:	760-747-7431
Fax Number	:

Provider Business Practice Location Address
First Line	:	1305 UNION PLAZA CT STE 200
Second Line	:
City	:	OCEANSIDE
State	:	CA
Zip	:	92054-5659
Country	:	US
Telephone Number	:	760-754-3516
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2007
Last Update Date	:	07/08/2007

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