# ADVANCE CARE SPECIALIST MEDICAL CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ADVANCE CARE SPECIALIST MEDICAL CLINIC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1497171748
- **Legal business name:** ADVANCE CARE SPECIALIST MEDICAL CLINIC
- **Authorized official:** DR. RONALD M. SCHILLING SR. M.D. (MEDICAL DIRECTOR/ OWNER)
- **Authorized official phone:** (562) 997-7996

## Contact information

- **Practice address:** 7851 MISSION CENTER CT STE 205, SAN DIEGO, CA 92108-1327
- **Practice address phone:** (619) 291-5410
- **Practice address fax:** (619) 291-5412
- **Mailing address:** 7851 MISSION CENTER CT STE 205, SAN DIEGO, CA 92108-1327
- **Mailing address phone:** (619) 291-5410
- **Mailing address fax:** (619) 291-5412

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | G60661 | CA | Yes |

## Other

- **Enumeration date:** 03/11/2014
- **Last updated:** 03/11/2014