EASTLAKE FAMILY MEDICAL INC. – NPI #1124101985
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

EASTLAKE FAMILY MEDICAL INC. is a provider located in CHULA VISTA, CA. NPPES has assigned the NPI number 1124101985 to EASTLAKE FAMILY MEDICAL INC. on October 23, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 12 years ago on Jun 05, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EASTLAKE FAMILY MEDICAL INC. below.

NPI Profile for
EASTLAKE FAMILY MEDICAL INC.

NPI Number
1124101985
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EASTLAKE FAMILY MEDICAL INC.
Former Legal Business Name: EASTLAKE FAMILY MEDICAL INC.
Primary location
2452 FENTON STREET
SUITE 301
CHULA VISTA, CA 91914
Phone: (619) 946-4073 Fax: (619) 946-7243
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARIA OSEGUERA
PRESIDENT
Phone: (619) 946-4073
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
CA 20A 6433

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.