Organization · Type 2 NPI

Palomar Health

Ambulatory Surgical Clinic/Center · Escondido, CA

NPI number 1083065882 Active

Practice location

700 W El Norte Pkwy
Escondido, CA 92026-3923

Call (442) 281-5000 Map

Mailing address

456 E Grand Ave
Escondido, CA 92025-3319

Specialties and licenses

Taxonomy	Code	License
Ambulatory Surgical Clinic/Center Primary	261QA1903X	080000083 (CA)

Ambulatory Surgical Clinic/Center: Definition to come...

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David Slack, MDAnesthesiology Physician Escondido, CA NPI 1932143765
Kristine Tagwerker, CRNACertified Registered Nurse Anesthetist Escondido, CA NPI 1588090005

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NPI record

NPI: 1083065882
Entity type: Organization (Type 2)
Issued: Jun 23, 2016
Last updated: Sep 23, 2019
Status: Active
Subpart: Yes of Palomar Health

Other names

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Palomar Health Surgery Center · doing business as
Palomar Health Surgery Center · doing business as

Authorized official

Diane Hansen
President and CEO
(760) 740-6385

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1083065882

Palomar Health's National Provider Identifier is 1083065882, issued on Jun 23, 2016. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Escondido, CA. The record was last updated on Sep 23, 2019.