MEDICARE: DEL MAR MEDICAL CLINIC

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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1790876548
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEL MAR MEDICAL CLINIC

Provider Business Mailing Address
First Line	:	1335 CAMINO DEL MAR
Second Line	:
City	:	DEL MAR
State	:	CA
Zip	:	92014-2507
Country	:	US
Telephone Number	:	858-793-5000
Fax Number	:	858-793-5020

Provider Business Practice Location Address
First Line	:	1335 CAMINO DEL MAR
Second Line	:
City	:	DEL MAR
State	:	CA
Zip	:	92014-2507
Country	:	US
Telephone Number	:	858-793-5000
Fax Number	:	858-793-5020

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ATHANASIOS J FOSTER
Credential	:	M.D.
Telephone Number	:	858-793-5000

Provider Enumeration Date	:	09/27/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

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Practice Location Address:

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1679805485 — DR. J. GEOFFREY MURRAY DDS
Practice Location Address:

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1265156970 — MAHER ATASSI DMD
Practice Location Address:

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Practice Fax:

1306515663 — JULIA-ELISE CHILDS LCSW
Practice Location Address:

200 E DEL MAR BLVD STE 160
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Practice Fax:

1043086945 — JULIA-ELISE CHILDS THERAPY: A LICENSED CLINICAL SOCIAL WORKER CORP.
Practice Location Address:

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1902657869 — SHANNON M ALGEO MA, AMFT, APCC
Practice Location Address:

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Practice Fax:

Directions to “DEL MAR MEDICAL CLINIC ” Practice Location

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