Organization
CENTRO MEDICO DEL CARMEN, A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS LEE WATSON M.D. (CEO)
(760) 480-9051
Entity
Organization
Contact information
Practice address
303 S JUNIPER ST, ESCONDIDO, CA 92025-4924
(760) 480-9051
(760) 480-9054
Mailing address
303 S JUNIPER ST, ESCONDIDO, CA 92025-4924
(760) 480-9051
(760) 480-9054
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A52193
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A521930
—
CA
Enumeration date
05/21/2007
Last updated
01/22/2024
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