MEDICARE: MRS. SHILOH SERENE WECKLICH PA-C

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	363AM0700X	Medical Physician Assistant	PA21992	CA

General Provider Information

NPI Number	:	1558639476
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHILOH SERENE WECKLICH PA-C

Provider Business Mailing Address
First Line	:	225 EAST SECOND AVENUE
Second Line	:
City	:	ESCONDIDO
State	:	CA
Zip	:	92025
Country	:	US
Telephone Number	:	760-291-6700
Fax Number	:	760-737-7324

Provider Business Practice Location Address
First Line	:	3142 VISTA WAY STE 100
Second Line	:
City	:	OCEANSIDE
State	:	CA
Zip	:	92056-3627
Country	:	US
Telephone Number	:	760-291-6700
Fax Number	:	760-754-3859

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

Provider Enumeration Date	:	12/06/2011
Last Update Date	:	12/30/2024

Similar Medicare Providers

1598733271 — RANCHO PHYSICAL THERAPY, INC.
Practice Location Address:

3142 VISTA WAY STE 101
OCEANSIDE, CA
92056-3627

Practice Phone: 760-231-7972
Practice Fax: 760-630-5367

1932671526 — ROY VINCENT TEJIDOR PT
Practice Location Address:

3142 VISTA WAY STE 101
OCEANSIDE, CA
92056-3627

Practice Phone: 760-231-7972
Practice Fax: 760-630-5367

1003017906 — DR. LINDEN JOHN BURZELL M.D.
Practice Location Address:

3142 VISTA WAY STE 100
OCEANSIDE, CA
92056-3627

Practice Phone: 760-291-6700
Practice Fax: 760-754-3859

1093973018 — STEPHEN PAUL DEL ROSARIO TINIO M.D.
Practice Location Address:

3142 VISTA WAY STE 100
OCEANSIDE, CA
92056-3627

Practice Phone: 760-291-6700
Practice Fax: 760-754-3859

1528223542 — NUPUR KEYOOR GOSALIA MD
Practice Location Address:

3142 VISTA WAY STE 100
OCEANSIDE, CA
92056-3627

Practice Phone: 760-291-6700
Practice Fax: 760-754-3859

1366997702 — MEAGAN ANDREW DPT
Practice Location Address:

3142 VISTA WAY STE 101
OCEANSIDE, CA
92056-3627

Practice Phone: 760-630-2258
Practice Fax: 760-630-5367

Directions to “ MRS. SHILOH SERENE WECKLICH PA-C” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.