Organization Name: | NEIGHBORHOOD HEALTHCARE |
NPI Number: | 1760667950 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TRACY REAM (CEO) |
Mailing Address: | 855 E Madison Ave El Cajon |
State: | CA US |
Postal Code: | 920203819 |
Phone Number: | 6194402751 |
Fax Number: | 6194402945 |
NPI Enumeration Date: | 01/07/2008 |
NPI Last Update Date: | 03/26/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |