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Organization
PACIFIC HEIGHTS HEALTHCARE, INC
Active
Organization
PACIFIC HEIGHTS HEALTHCARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE THOMAS MD (PRESIDENT)
(949) 580-1061
Entity
Organization
Contact information
Practice address
26060 ACERO, MISSION VIEJO, CA 92691-2768
(949) 580-1061
Mailing address
PO BOX 1598, IRVINE, CA 92619-1598
(949) 580-1061
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
G061513
CA
2084P0800X
Psychiatry Physician
Primary
G061513
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2042010
—
WA
01
—
G061513
MEDICAL LICENSE
CA
Enumeration date
10/27/2017
Last updated
10/31/2017
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