Organization
NEIGHBORHOOD HEALTHCARE
Active
Organization
NEIGHBORHOOD HEALTHCARE
Active
Other names
Neighborhood Healthcare - Ray M Dickinson Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
RAKESH PATEL MD,MBA,FAAFP,CPE (CEO)
(760) 520-8300
Entity
Organization
Contact information
Practice address
425 N DATE ST, ESCONDIDO, CA 92025-3413
(760) 520-8330
(760) 737-9713
Mailing address
215 S HICKORY ST, ESCONDIDO, CA 92025-4359
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55-1173
MEDICARE PTAN
CA
05
—
FHC70890F
—
CA
Enumeration date
01/10/2008
Last updated
05/30/2024
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