# NEIGHBORHOOD HEALTHCARE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NEIGHBORHOOD HEALTHCARE
- **Other names:** Medi-Cal HAP
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1295903607
- **Legal business name:** NEIGHBORHOOD HEALTHCARE
- **Authorized official:** TRACY REAM (CEO)
- **Authorized official phone:** (760) 520-8375

## Contact information

- **Practice address:** 460 N ELM ST, ESCONDIDO, CA 92025-3002
- **Practice address phone:** (760) 520-8100
- **Practice address fax:** (760) 737-2039
- **Mailing address:** 425 N DATE ST, ESCONDIDO, CA 92025-3413
- **Mailing address phone:** (760) 737-2035
- **Mailing address fax:** (760) 520-8314

## Taxonomy

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

## Other

- **Enumeration date:** 02/19/2008
- **Last updated:** 02/19/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | HAP70481F | — | CA |