Provider Demographics
NPI:1861841835
Name:PACIFIC POINT HEALTH CARE SERVICES, INC.
Entity Type:Organization
Organization Name:PACIFIC POINT HEALTH CARE SERVICES, INC.
Other - Org Name:CARE MANAGEMENT BY BY PACIFIC POINT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:HAMIDEH
Authorized Official - Middle Name:
Authorized Official - Last Name:PANAHI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:760-603-8400
Mailing Address - Street 1:5938 PRIESTLY DR
Mailing Address - Street 2:#102A
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92008-8847
Mailing Address - Country:US
Mailing Address - Phone:760-603-8400
Mailing Address - Fax:760-603-9600
Practice Address - Street 1:6170 CORNERSTONE CT E STE 200
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92121-3767
Practice Address - Country:US
Practice Address - Phone:760-603-8400
Practice Address - Fax:760-603-9600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-09
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based