| Dietonex | |
|
625 Citracado Pkwy Suite 104 Escondido CA 92025-6428 | |
| (760) 294-2757 | |
| Not Available |
| Full Name | Dietonex |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 625 Citracado Pkwy, Escondido, California |
| Authorized Official Name and Position | Timothy Bailey (PRESIDENT) |
| Authorized Official Contact | 7604661530 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dietonex 625 Citracado Pkwy Suite 104 Escondido CA 92025-6428 Ph: (760) 294-2757 | Dietonex 625 Citracado Pkwy Suite 104 Escondido CA 92025-6428 Ph: (760) 294-2757 |
| NPI Number | 1588033914 |
|---|---|
| Provider Enumeration Date | 09/16/2015 |
| Last Update Date | 12/04/2023 |
| Certification Date | 12/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588033914 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | () | Primary |
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