# NORTH COUNTY ENT MEDICAL GROUP

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

## Provider details

- **NPI number:** 1689907040
- **Authorized official:** MRS. PAMELA A LEHMAN (BILLING, CREDENTIALING, CONTRACTING)
- **Authorized official phone:** (951) 215-1889

## Contact information

- **Practice address:** 521 E ELDER ST, SUITE 202, FALLBROOK, CA 92028-3081
- **Practice address phone:** (760) 723-1100
- **Practice address fax:** (760) 723-2180
- **Mailing address:** 521 E ELDER ST, SUITE 202, FALLBROOK, CA 92028-3081
- **Mailing address phone:** (760) 723-1100
- **Mailing address fax:** (760) 723-2180

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | — | NULL | Yes |
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/16/2009
- **Last updated:** 09/23/2010
