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MYSTICAL ROSE OBSTETRICS AND GYNECOLOGY NPI 1851521231


NPI Information

NPI: 1851521231
Provider Name: MYSTICAL ROSE OBSTETRICS AND GYNECOLOGY
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 05D2078398

Address:
577 E ELDER ST STE K
FALLBROOK, CA
ZIP 92028
Phone: (760) 983-4024
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MYSTICAL ROSE OBSTETRICS AND GYNECOLOGY is an obstetrics gynecology in Fallbrook, CA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. MYSTICAL ROSE OBSTETRICS AND GYNECOLOGY NPI is 1851521231. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

577 E ELDER ST STE K
FALLBROOK, CA
ZIP 92028-079
Phone: (760) 983-4024
Fax: (760) 723-9010

The provider's authorized official is Shilo Stigen .
The authorized official title is Chief Financial Officer and has the following contact phone number (619) 318-4798.

The CLIA number assigned to this NPI record is 05D2078398 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/21/2009 and was last updated on 12/21/2021.


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
1207V00000XObstetrics & GynecologyYes

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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