Provider Demographics
NPI:1992096630
Name:PRIMARY CARE CENTER OF NORTH COUNTY, APC
Entity type:Organization
Organization Name:PRIMARY CARE CENTER OF NORTH COUNTY, APC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY/TREASURER
Authorized Official - Prefix:MS
Authorized Official - First Name:SILVIA
Authorized Official - Middle Name:SUSANA
Authorized Official - Last Name:GRINDLE
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:858-335-4012
Mailing Address - Street 1:13525 MIDLAND RD STE F
Mailing Address - Street 2:
Mailing Address - City:POWAY
Mailing Address - State:CA
Mailing Address - Zip Code:92064-4772
Mailing Address - Country:US
Mailing Address - Phone:858-486-9100
Mailing Address - Fax:858-486-9101
Practice Address - Street 1:13525 MIDLAND RD STE F
Practice Address - Street 2:
Practice Address - City:POWAY
Practice Address - State:CA
Practice Address - Zip Code:92064-4772
Practice Address - Country:US
Practice Address - Phone:858-486-9100
Practice Address - Fax:858-486-9101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-28
Last Update Date:2018-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care