Provider Demographics
NPI:1073681342
Name:JUERGEN G WINKLER MD, A MEDICAL CORPORATION
Entity Type:Organization
Organization Name:JUERGEN G WINKLER MD, A MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JUERGEN
Authorized Official - Middle Name:GERNOT
Authorized Official - Last Name:WINKLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-439-9955
Mailing Address - Street 1:2204 S EL CAMINO REAL STE 104
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92054-6377
Mailing Address - Country:US
Mailing Address - Phone:760-439-9955
Mailing Address - Fax:760-439-6755
Practice Address - Street 1:2204 S EL CAMINO REAL STE 104
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92054-6377
Practice Address - Country:US
Practice Address - Phone:760-439-9955
Practice Address - Fax:760-439-6755
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-02
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG67075207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Single Specialty