Organization
GENESIS MEDICAL HEALTH A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSIE CRUZ (CEO)
(760) 803-2005
Entity
Organization
Contact information
Practice address
1155 E GRAND AVE STE 10, ESCONDIDO, CA 92025-3219
(760) 644-4027
(714) 333-4262
Mailing address
1155 E GRAND AVE STE 10, ESCONDIDO, CA 92025-3219
(760) 803-2005
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
2084N0400X
Neurology Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
04/18/2024
Last updated
08/05/2024
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