Organization
NEIGHBORHOOD HEALTHCARE
Active
Parent organization
NEIGHBORHOOD HEALTHCARE
Other names
Medi-Cal HAP
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEIGHBORHOOD HEALTHCARE
Authorized official
TRACY REAM (CEO)
(760) 520-8375
Entity
Organization
Contact information
Practice address
460 N ELM ST, ESCONDIDO, CA 92025-3002
(760) 520-8100
(760) 737-2039
Mailing address
425 N DATE ST, ESCONDIDO, CA 92025-3413
(760) 737-2035
(760) 520-8314
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HAP70481F
—
CA
Enumeration date
02/19/2008
Last updated
02/19/2008
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