Organization
NORTH COUNTY CARDIOTHORACIC SURGERY A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN FOLKERTH (OFFICE MANAGER)
(760) 726-2500
Entity
Organization
Contact information
Practice address
3998 VISTA WAY, SUITE A, OCEANSIDE, CA 92056
(760) 726-2500
(760) 726-3279
Mailing address
3998 VISTA WAY, SUITE A, OCEANSIDE, CA 92056
(760) 726-2500
(760) 726-3279
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
C30651
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C306510
—
CA
Enumeration date
10/28/2005
Last updated
10/13/2015
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