Organization
PALOMAR HEALTH
Active
Organization
PALOMAR HEALTH
Active
Parent organization
PALOMAR HEALTH
Other names
Palomar Health Center for Behavioral Health - PMC Poway
Organization subpart
Yes
Provider details
NPI number
Legal business name
PALOMAR HEALTH
Authorized official
DIANE HANSEN (PRESIDENT AND CEO)
(760) 740-6385
Entity
Organization
Contact information
Practice address
15615 POMERADO ROAD, POWAY, CA 92064
(858) 613-4000
(760) 480-7966
Mailing address
2125 CITRACADO PKWY STE 300, ESCONDIDO, CA 92029-4159
(760) 480-7966
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
080000127
CA
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HSM30636F
—
CA
Enumeration date
01/26/2006
Last updated
03/09/2021
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