# BORREGO STAT CARE INC

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

## Provider details

- **NPI number:** 1225890346
- **Authorized official:** MONICA LUCERO (OFFICE MANAGER)
- **Authorized official phone:** (760) 837-0321

## Contact information

- **Practice address:** 587 PALM CANYON DR \# 215, BORREGO SPRINGS, CA 92004-4000
- **Practice address phone:** (760) 837-0321
- **Practice address fax:** (760) 837-9114
- **Mailing address:** PO BOX 960, BORREGO SPRINGS, CA 92004-0960
- **Mailing address phone:** (760) 284-1044
- **Mailing address fax:** (760) 284-1937

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/24/2024
- **Last updated:** 07/03/2024