Organization
GROSSMONT PEDIATRICS OPERATED BY NEIGHBORHOOD HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAKESH PATEL MD (CHIEF EXECUTIVE OFFICER)
(760) 520-8300
Entity
Organization
Contact information
Practice address
6924 UNIVERSITY AVENUE, LA MESA, CA 91942-5922
(760) 520-8300
Mailing address
425 N DATE ST, ESCONDIDO, CA 92025-3413
(760) 737-6925
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
03/26/2020
Last updated
03/26/2020
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