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Organization

WARING COURT PEDIATRIC AND ADULT MEDICAL GROUP

Active
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Organization

WARING COURT PEDIATRIC AND ADULT MEDICAL GROUP

Active
Other names
Surfside Medical Group
Organization subpart
No

Provider details

NPI number
Authorized official
EVANNE WILKEY (PRACTICE DIRECTOR)
(760) 941-4498
Entity
Organization

Contact information

Practice address
3230 WARING CT, SUITE J, OCEANSIDE, CA 92056-4509
(760) 941-4498
(760) 941-6938
Mailing address
3230 WARING CT, SUITE J, OCEANSIDE, CA 92056-4509
(760) 941-4498
(760) 941-6938

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A113589
CA
207R00000X
Internal Medicine Physician
G65272
CA
208000000X
Pediatrics Physician
G28877
CA
363AM0700X
Medical Physician Assistant
PA15228
CA
363AM0700X
Medical Physician Assistant
PA19297
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164483723
NPI
CA
Enumeration date
03/31/2006
Last updated
01/07/2025
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