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PARK TERRACE MEDICAL ASSOCIATES INC NPI 1366685737


NPI Information

NPI: 1366685737
Provider Name: PARK TERRACE MEDICAL ASSOCIATES INC

Doing Business As: CENTRE FOR HEALTHCARE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
15611 POMERADO RD
SUITE 400
POWAY, CA
ZIP 92064
Phone: (858) 613-8900
Get Directions

PARK TERRACE MEDICAL ASSOCIATES INC is a family medicine in Poway, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PARK TERRACE MEDICAL ASSOCIATES INC NPI is 1366685737. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Centre For Healthcare.

The provider's business location address is:

15611 POMERADO RD
SUITE 400
POWAY, CA
ZIP 92064-437
Phone: (858) 613-8900
Fax: (858) 618-1523

The provider's authorized official is Lawrence Andrew Koenig .
The authorized official title is Medical Director and has the following contact phone number (858) 613-8900.

The enumeration date for this NPI number is 4/14/2009 and was last updated on 4/14/2009.


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
1207N00000XDermatologyNo
2207R00000XInternal MedicineNo
3207W00000XOphthalmologyNo
4207X00000XOrthopaedic SurgeryNo
5207YS0012XOtolaryngologySleep MedicineNo
6207YX0905XOtolaryngologyOtolaryngology/Facial Plastic SurgeryNo
7208000000XPediatricsNo
8208600000XSurgeryNo
9363A00000XPhysician AssistantNo
10363AS0400XPhysician AssistantSurgicalNo
11363LF0000XNurse PractitionerFamilyNo
12363LP0200XNurse PractitionerPediatricsNo
13133N00000XNutritionistNo
14207K00000XAllergy & ImmunologyNo
15207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15254950001MEDICARE NSCCALIFORNIA
2CU0284MEDICARE PINCALIFORNIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.