Elizabeth Supportive Medical Specialists, A Medical Corporation
Internal Medicine, Hospice and Palliative Medicine in Escondido, CA. Organization (NPI-2).
NPI number1154861979
StatusActive
Last updated in NPPESJun 3, 2025
Details
- NPI
- 1154861979
- Entity type
- Organization (NPI-2)
- Legal business name
- Elizabeth Supportive Medical Specialists, A Medical Corporation
- Organization subpart
- No
- Enumeration date
- Feb 27, 2017
- Certification date
- Jun 3, 2025
- Last updated
- Jun 3, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RH0002X | Internal Medicine, Hospice and Palliative Medicine | – | – | Yes |
Practice location
800 W Valley Pkwy Ste 203Escondido, CA 92025-2557
Phone 760-796-3763 · Fax 760-796-3788
Mailing address
800 W Valley Pkwy Ste 100Escondido, CA 92025-2557
Phone 760-737-2050 · Fax 760-796-3781
Other practice locations
27720 Jefferson Ave Ste 200
Temecula, CA 92590-2630
Temecula, CA 92590-2630
Phone 760-737-2050
Authorized official
Charles F Von Gunten
Owner/President
7607372050
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.