# NORTH COUNTY CARDIOTHORACIC SURGERY A MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104817238
- **Authorized official:** JEAN FOLKERTH (OFFICE MANAGER)
- **Authorized official phone:** (760) 726-2500

## Contact information

- **Practice address:** 3998 VISTA WAY, SUITE A, OCEANSIDE, CA 92056
- **Practice address phone:** (760) 726-2500
- **Practice address fax:** (760) 726-3279
- **Mailing address:** 3998 VISTA WAY, SUITE A, OCEANSIDE, CA 92056
- **Mailing address phone:** (760) 726-2500
- **Mailing address fax:** (760) 726-3279

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | C30651 | CA | Yes |

## Other

- **Enumeration date:** 10/28/2005
- **Last updated:** 10/13/2015