Provider Demographics
NPI:1598487571
Name:PACIFIC VIEW OB-GYN MEDICAL GROUP INC
Entity Type:Organization
Organization Name:PACIFIC VIEW OB-GYN MEDICAL GROUP INC
Other - Org Name:PACIFIC VIEW OB-GYN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING & COLLECTION MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DEANINE
Authorized Official - Middle Name:
Authorized Official - Last Name:DOLPHIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-729-0000
Mailing Address - Street 1:6260 EL CAMINO REAL STE 105
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92009-1609
Mailing Address - Country:US
Mailing Address - Phone:760-476-2929
Mailing Address - Fax:760-476-2930
Practice Address - Street 1:6260 EL CAMINO REAL STE 105
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92009-1609
Practice Address - Country:US
Practice Address - Phone:760-476-2929
Practice Address - Fax:760-476-2930
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-15
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty