Organization

Escondido Internal Medicine Inc

Internal Medicine Physician in Escondido, CA(View on Map)

Legal Business Name

Escondido Internal Medicine Inc

NPI Number

1144253808

NPI Type

Organization

Enumeration Date

07/08/2006

Specialties

(Taxonomies)

Code

207R00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 262160
215 S HICKORY ST

City

San Diego
Escondido

State

CA
CA

Postal Code

92196-2160
92025-4359

Country

US
US

Telephone Number

N/A
(760) 432-6644

Authorized Official

Name

Larry Chiang

Title or Position

MD/PRESIDENT

Telephone Number

(760) 432-6644

Identifiers

Identifier

ZZZ66231Z

Identifier State

CA

Identifier Issuer

BLUE SHIELD

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/11/2020

Provider Address

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