Individual
JEFFREY I. GORWIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1955 CITRACADO PKWY STE 300, ESCONDIDO, CA 92029-4113
(760) 743-0546
(760) 743-8837
Mailing address
PO BOX 28199, SAN DIEGO, CA 92198-0199
(858) 673-2574
(858) 618-1523
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G25365
CA
207RI0011X
Interventional Cardiology Physician
G25365
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891798658
—
CA
01
—
GQ547Z
MEDICARE
CA
01
—
P01123966
MEDICARE RAILROAD
CA
Enumeration date
05/24/2005
Last updated
05/08/2018
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