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Organization
NORTH COAST WOMEN'S CARE MEDICAL GROUP, INC.
Active
Organization
NORTH COAST WOMEN'S CARE MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES E STOOPACK M.D. (PRESIDENT)
(760) 758-3000
Entity
Organization
Contact information
Practice address
2067 W VISTA WAY, SUITE 225, VISTA, CA 92083-6031
(760) 758-3000
(760) 758-5943
Mailing address
2067 W VISTA WAY, SUITE 225, VISTA, CA 92083-6031
(760) 758-3000
(760) 758-5943
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
FNP20895
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0082190
—
CA
Enumeration date
08/31/2006
Last updated
08/22/2020
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