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NPI Code Detail

MEDICARE: FRANK WINTON M.D

MEDICARE: FRANK WINTON M.D
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
1207QS0010XSports Medicine (Family Medicine) PhysicianA70068CA
2207Q00000XFamily Medicine PhysicianA70068CA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1080188795OTHERCAMEDICARE RR

General Provider Information

NPI Number : 1750300315
Entity Type Code : Individual
Provider Name (Legal Business Name) : FRANK WINTON M.D
Provider Business Mailing Address
First Line : 225 E 2ND AVE
Second Line :
City : ESCONDIDO
State : CA
Zip : 92025-4249
Country : US
Telephone Number : 760-291-6700
Fax Number : 760-728-9732
Provider Business Practice Location Address
First Line : 1035 S MAIN AVE
Second Line :
City : FALLBROOK
State : CA
Zip : 92028-3338
Country : US
Telephone Number : 760-291-6700
Fax Number : 760-728-9732
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2006
Last Update Date : 12/12/2024

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