Organization · NPI-2
Ficaremed PC
Family Medicine · Poway, CA
NPI number1336827211
StatusActive
Last updated in NPPESJul 14, 2023
Details
- NPI
- 1336827211
- Entity type
- Organization (NPI-2)
- Legal business name
- Ficaremed PC
- Organization subpart
- No
- Enumeration date
- Jul 10, 2023
- Certification date
- Jul 14, 2023
- Last updated
- Jul 14, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
15644 Pomerado Rd Ste 100Poway, CA 92064-2419
Phone 858-485-5111 · Fax 858-485-6747
Mailing address
15644 Pomerado Rd Ste 100Poway, CA 92064-2419
Phone 858-485-5111 · Fax 858-485-6747
Authorized official
Patrocinia Magat
Owner
9594855111
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