Provider Demographics
NPI:1972570869
Name:C & C PERSONNILL
Entity Type:Organization
Organization Name:C & C PERSONNILL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:E
Authorized Official - Last Name:CULTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-728-5728
Mailing Address - Street 1:521 E ELDER ST
Mailing Address - Street 2:STE 102
Mailing Address - City:FALLBROOK
Mailing Address - State:CA
Mailing Address - Zip Code:92028-3082
Mailing Address - Country:US
Mailing Address - Phone:760-728-5728
Mailing Address - Fax:760-728-5934
Practice Address - Street 1:521 E ELDER ST
Practice Address - Street 2:STE 102
Practice Address - City:FALLBROOK
Practice Address - State:CA
Practice Address - Zip Code:92028-3082
Practice Address - Country:US
Practice Address - Phone:760-728-5728
Practice Address - Fax:760-728-5934
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty