Organization Name: | CR ASSOCIATES INC |
NPI Number: | 1023111267 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHERRYL ANITA YANCEY (PRIMARY CARE PROVIDER) |
Mailing Address: | 815 E Pennsylvania St Escondido |
State: | CA US |
Postal Code: | 92025 |
Phone Number: | 7604667020 |
Fax Number: | 7602910301 |
NPI Enumeration Date: | 09/06/2006 |
NPI Last Update Date: | 07/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QV0200X |
License Number: | NP10256 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | VA |
Taxonomy Definition: |