| Outreach Care Medical Group, Inc | |
|
2171 S El Camino Real Suite 104 Oceanside CA 92054-6229 | |
| (760) 754-5663 | |
| Not Available |
| Full Name | Outreach Care Medical Group, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2171 S El Camino Real, Oceanside, California |
| Authorized Official Name and Position | Jacob N Flores (PHYSICIAN) |
| Authorized Official Contact | 7607545663 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Outreach Care Medical Group, Inc 2171 S El Camino Real Suite 104 Oceanside CA 92054-6229 Ph: (760) 754-5663 | Outreach Care Medical Group, Inc 2171 S El Camino Real Suite 104 Oceanside CA 92054-6229 Ph: (760) 754-5663 |
| NPI Number | 1285976787 |
|---|---|
| Provider Enumeration Date | 03/22/2013 |
| Last Update Date | 01/09/2024 |
| Medicare PECOS PAC ID | 9234375569 |
|---|---|
| Medicare Enrollment ID | O20130411000337 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285976787 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | A60865 (California) | Primary |
| Provider Name | Jacob N Flores |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1164469201 PECOS PAC ID: 7719960434 Enrollment ID: I20040611001036 |
| Provider Name | Ling Le |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780765420 PECOS PAC ID: 8527089549 Enrollment ID: I20051216000748 |
| Provider Name | Armida T Robles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386995413 PECOS PAC ID: 4981831971 Enrollment ID: I20131219000801 |
| Provider Name | Paz M Lorenzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013353903 PECOS PAC ID: 0749406668 Enrollment ID: I20140729001468 |
| Provider Name | Michael N Truong |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1376834143 PECOS PAC ID: 3173837713 Enrollment ID: I20150727002683 |
| Provider Name | Setareh Faghani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598216624 PECOS PAC ID: 6002192812 Enrollment ID: I20170410002553 |
| Provider Name | Dennis Stolpner |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1497018782 PECOS PAC ID: 7416299409 Enrollment ID: I20190423000612 |
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