Organization
NEIGHBORHOOD HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY REAM (CEO)
(760) 520-8375
Entity
Organization
Contact information
Practice address
641 E PENNSYLVANIA AVE STE 102, ESCONDIDO, CA 92025-3047
(760) 520-8200
(760) 737-5490
Mailing address
425 N DATE ST, ESCONDIDO, CA 92025-3413
(760) 737-2035
(760) 520-8314
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FHC70608F
—
CA
Enumeration date
01/10/2008
Last updated
05/02/2008
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