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
41715 WINCHESTER RD, SUITE 203 & 204, TEMECULA, CA 92590-4854
(951) 600-6300
(951) 600-6306
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
—
BCP70563G
—
CA
05
—
FHC70563G
—
CA
05
—
HAP70563G
—
CA
Enumeration date
01/07/2008
Last updated
09/25/2012
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