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NORTH COUNTY ENDOCRINE MEDICAL GROUP NPI 1013068105


NPI Information

NPI: 1013068105
Provider Name: NORTH COUNTY ENDOCRINE MEDICAL GROUP

Doing Business As: ADVANCED METABOLIC CARE & RESEARCH

Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 05D0566900

Address:
625 W CITRACADO PKWY
SUITE 108
ESCONDIDO, CA
ZIP 92025
Phone: (760) 743-1431
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NORTH COUNTY ENDOCRINE MEDICAL GROUP is a specialist in Escondido, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. NORTH COUNTY ENDOCRINE MEDICAL GROUP NPI is 1013068105. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Advanced Metabolic Care & Research.

The provider's business location address is:

625 W CITRACADO PKWY
SUITE 108
ESCONDIDO, CA
ZIP 92025
Phone: (760) 743-1431
Fax: (760) 743-6455

The provider's authorized official is Timothy Silleck Bailey .
The authorized official title is President and has the following contact phone number (760) 743-1431.

The CLIA number assigned to this NPI record is 05D0566900 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/15/2007 and was last updated on 2/15/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistA32416CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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