Provider Demographics
NPI: | 1043031081 |
---|---|
Name: | FOCUS ON HEALTH INC |
Entity type: | Organization |
Organization Name: | FOCUS ON HEALTH INC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PHYSICIAN OWNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | SERGIO |
Authorized Official - Middle Name: | RENE |
Authorized Official - Last Name: | FLORES |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 760-291-6997 |
Mailing Address - Street 1: | 8695 SPECTRUM CENTER BLVD |
Mailing Address - Street 2: | |
Mailing Address - City: | SAN DIEGO |
Mailing Address - State: | CA |
Mailing Address - Zip Code: | 92123-1489 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 858-798-9083 |
Mailing Address - Fax: | 760-705-1533 |
Practice Address - Street 1: | 7525 LINDA VISTA RD |
Practice Address - Street 2: | |
Practice Address - City: | SAN DIEGO |
Practice Address - State: | CA |
Practice Address - Zip Code: | 92111-5344 |
Practice Address - Country: | US |
Practice Address - Phone: | 858-798-9083 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | Yes |
Parent Organization LBN: | FOCUS ON HEALTH INC |
Parent Organization TIN: | <UNAVAIL> |
Enumeration Date: | 2024-10-22 |
Last Update Date: | 2024-10-22 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 207RH0002X | Allopathic & Osteopathic Physicians | Internal Medicine | Hospice and Palliative Medicine | Group - Single Specialty |