Provider Demographics
NPI:1841528429
Name:CENTRE FOR HEALTH CARE
Entity type:Organization
Organization Name:CENTRE FOR HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AMBULATORY CARE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:CARL
Authorized Official - Middle Name:OLSON
Authorized Official - Last Name:STEEN
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, BSN, RN
Authorized Official - Phone:858-675-3284
Mailing Address - Street 1:15611 POMERADO RD
Mailing Address - Street 2:SUITE #400
Mailing Address - City:POWAY
Mailing Address - State:CA
Mailing Address - Zip Code:92064-2437
Mailing Address - Country:US
Mailing Address - Phone:858-675-3284
Mailing Address - Fax:858-487-3823
Practice Address - Street 1:15611 POMERADO RD
Practice Address - Street 2:SUITE #400
Practice Address - City:POWAY
Practice Address - State:CA
Practice Address - Zip Code:92064-2437
Practice Address - Country:US
Practice Address - Phone:858-675-3284
Practice Address - Fax:858-487-3823
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-19
Last Update Date:2009-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA484279163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory CareGroup - Multi-Specialty