Provider Demographics
NPI:1851489728
Name:NORTH COUNTY INTERNISTS, MEDICAL CORP.
Entity Type:Organization
Organization Name:NORTH COUNTY INTERNISTS, MEDICAL CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:SCHOENGOLD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:858-485-6644
Mailing Address - Street 1:15721 POMERADO RD
Mailing Address - Street 2:
Mailing Address - City:POWAY
Mailing Address - State:CA
Mailing Address - Zip Code:92064-2021
Mailing Address - Country:US
Mailing Address - Phone:858-485-6644
Mailing Address - Fax:858-618-5963
Practice Address - Street 1:15721 POMERADO RD
Practice Address - Street 2:
Practice Address - City:POWAY
Practice Address - State:CA
Practice Address - Zip Code:92064-2021
Practice Address - Country:US
Practice Address - Phone:858-485-6644
Practice Address - Fax:858-618-5963
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW14118BMedicare ID - Type Unspecified