Organization
ESCONDIDO OB-GYN MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANISLAV CIZMAR (MANAGING PARTNER)
(760) 233-1896
Entity
Organization
Contact information
Practice address
1955 CITRACADO PKWY STE 302, ESCONDIDO, CA 92029-4113
(760) 223-1896
(760) 233-1899
Mailing address
1955 CITRACADO PKWY STE 302, ESCONDIDO, CA 92029-4113
(760) 233-1896
(760) 658-6106
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G547460
—
CA
Enumeration date
06/04/2006
Last updated
02/22/2021
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