Organization
PALOMAR POMERADO GASTROENTEROLOGY MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK LELAND KADDEN M. D. (PRESIDENT)
(760) 489-0908
Entity
Organization
Contact information
Practice address
225 E 2ND AVE, SUITE 340, ESCONDIDO, CA 92025-4212
(760) 489-0908
(760) 489-0962
Mailing address
225 E 2ND AVE, SUITE 340, ESCONDIDO, CA 92025-4212
(760) 489-0908
(760) 489-0962
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0042800
—
CA
Enumeration date
02/27/2007
Last updated
10/29/2008
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