Organization
ELLEHCAL OBGYN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ENCHANTA L. JENKINS M.D. (OWNER)
(760) 909-9435
Entity
Organization
Contact information
Practice address
577 E ELDER ST STE F, FALLBROOK, CA 92028-3079
(760) 645-3407
(760) 990-4523
Mailing address
1374 S MISSION RD UNIT 429, FALLBROOK, CA 92028-4006
(760) 909-9435
(760) 990-4523
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C3940420
CA
261Q00000X
Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100000667
—
CA
Enumeration date
11/18/2016
Last updated
09/26/2022
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