# PALOMAR HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PALOMAR HEALTH
- **Other names:** Palomar Health Pharmacy Services - PMC Poway
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1790801181
- **Legal business name:** PALOMAR HEALTH
- **Authorized official:** DIANE HANSEN (PRESIDENT AND CEO)
- **Authorized official phone:** (760) 740-6385

## Contact information

- **Practice address:** 15615 POMERADO ROAD, POWAY, CA 92064
- **Practice address phone:** (858) 613-4000
- **Practice address fax:** (760) 480-7966
- **Mailing address:** 2125 CITRACADO PKWY STE 300, ESCONDIDO, CA 92029-4159

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | — | — |
| 3336I0012X | Institutional Pharmacy | HPE 19625 | CA | Yes |
| 3336I0012X | Institutional Pharmacy | — | — | — |

## Other

- **Enumeration date:** 03/21/2007
- **Last updated:** 03/09/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0596520 | NABP NUMBER | CA |
| 01 | — | PHB196250 | MEDICAL | CA |