Organization
PALOMAR HEALTH
Active
Parent organization
PALOMAR HEALTH
Other names
Palomar Medical Center Poway
Organization subpart
Yes
Provider details
NPI number
Legal business name
PALOMAR HEALTH
Authorized official
DIANE HANSEN (PRESIDENT AND CEO)
(760) 740-6385
Entity
Organization
Contact information
Practice address
15615 POMERADO ROAD, POWAY, CA 92064
(858) 613-4000
(442) 281-3745
Mailing address
2125 CITRACADO PKWY STE 300, ESCONDIDO, CA 92029-4159
(760) 740-6360
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
—
—
282N00000X
General Acute Care Hospital
080000127
CA
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19469
3D MAMMOGRAPH DHCS
CA
05
—
HSC30636F
—
CA
05
—
ZZT30636F
—
CA
05
—
ZZT40636F
—
CA
Enumeration date
01/26/2006
Last updated
03/09/2022
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