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ESCONDIDO CARDIOLOGY ASSOCIATES MEDICAL GROUP INC. NPI 1437121183


NPI Information

NPI: 1437121183
Provider Name: ESCONDIDO CARDIOLOGY ASSOCIATES MEDICAL GROUP, INC.
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
488 E VALLEY PKWY
SUITE 201
ESCONDIDO, CA
ZIP 92025
Phone: (760) 743-0546
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ESCONDIDO CARDIOLOGY ASSOCIATES MEDICAL GROUP, INC. 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. ESCONDIDO CARDIOLOGY ASSOCIATES MEDICAL GROUP, INC. NPI is 1437121183. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

488 E VALLEY PKWY
SUITE 201
ESCONDIDO, CA
ZIP 92025-363
Phone: (760) 743-0546
Fax: (760) 743-8837

The provider's authorized official is John H Detwiler .
The authorized official title is President and has the following contact phone number (760) 743-0546.

The enumeration date for this NPI number is 2/6/2006 and was last updated on 8/30/2012.


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
1174400000XSpecialistYes

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
1WR1621MEDICARE PINCALIFORNIA
2ZZZ70943ZOTHERCALIFORNIABLUE SHIELD
3ZZZ70943ZMEDICAIDCALIFORNIA
4CU0135OTHERRR MEDICARE
5WR1621AMEDICARE 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

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