Basic Information
Provider Information
NPI: 1164530242
EntityType: 2
ReplacementNPI:  
OrganizationName: NORTH COUNTY HOSPITALISTS
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
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OtherCredential:  
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Mailing Information
Address1: 3156 VISTA WAY STE 405
Address2:  
City: OCEANSIDE
State: CA
PostalCode: 920563622
CountryCode: US
TelephoneNumber: 7604396581
FaxNumber: 7604396585
Practice Location
Address1: 4002 VISTA WAY
Address2:  
City: OCEANSIDE
State: CA
PostalCode: 920564506
CountryCode: US
TelephoneNumber: 7604396581
FaxNumber: 7604396585
Other Information
ProviderEnumerationDate: 08/28/2006
LastUpdateDate: 08/22/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: DAY
AuthorizedOfficialFirstName: RICHARD
AuthorizedOfficialMiddleName: BARTON
AuthorizedOfficialTitleorPosition: OWNER
AuthorizedOfficialTelephone: 7604733373
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: M.D.
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
174400000X  Y193200000X MULTI-SPECIALTY GROUPOther Service ProvidersSpecialist 

No ID Information.


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