Organization
CHILDRENS MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GINA ROSENFELD MD (MANAGING PHYSICIAN)
(760) 744-6710
Entity
Organization
Contact information
Practice address
1582 W SAN MARCOS BLVD STE 203, SAN MARCOS, CA 92078-4081
(760) 744-6710
(760) 744-6156
Mailing address
1582 W SAN MARCOS BLVD STE 203, SAN MARCOS, CA 92078-4081
(760) 744-6710
(760) 744-6156
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
015180
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ33912Z
—
CA
Enumeration date
06/24/2005
Last updated
10/03/2018
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