Provider Demographics
NPI:1912169897
Name:PALOMAR COLLEGE
Entity Type:Organization
Organization Name:PALOMAR COLLEGE
Other - Org Name:PALOMAR COMMUNITY COLLEGE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:REGISTERED NURSE
Authorized Official - Prefix:MS
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:NALY
Authorized Official - Last Name:SANGSANOI
Authorized Official - Suffix:
Authorized Official - Credentials:RN,MSN,CCRN
Authorized Official - Phone:760-744-1150
Mailing Address - Street 1:8018 SANTA ARMINTA AVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92126-1177
Mailing Address - Country:US
Mailing Address - Phone:858-689-1366
Mailing Address - Fax:
Practice Address - Street 1:1140 W MISSION RD
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:CA
Practice Address - Zip Code:92069-1415
Practice Address - Country:US
Practice Address - Phone:760-744-1150
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-01
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN458506282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital