Provider Demographics
NPI:1073127247
Name:PULMONARY SPECIALISTS OF NORTH COUNTY, INC
Entity Type:Organization
Organization Name:PULMONARY SPECIALISTS OF NORTH COUNTY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:KO
Authorized Official - Last Name:YAMANAKA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-941-0221
Mailing Address - Street 1:3907 WARING RD STE 2
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92056-4454
Mailing Address - Country:US
Mailing Address - Phone:760-941-0221
Mailing Address - Fax:760-941-0905
Practice Address - Street 1:3907 WARING RD STE 2
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92056-4454
Practice Address - Country:US
Practice Address - Phone:760-941-0221
Practice Address - Fax:760-941-0905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-03
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty