Organization
BORREGO STAT CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA LUCERO (OFFICE MANAGER)
(760) 837-0321
Entity
Organization
Contact information
Practice address
587 PALM CANYON DR # 215, BORREGO SPRINGS, CA 92004-4000
(760) 837-0321
(760) 837-9114
Mailing address
PO BOX 960, BORREGO SPRINGS, CA 92004-0960
(760) 284-1044
(760) 284-1937
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
01/24/2024
Last updated
07/03/2024
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