Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Park Terrace Medical Associates Inc

Organization Nutritionist · NPI 1366685737

Park Terrace Medical Associates Inc is a Nutritionist in Poway, California. Registered with an NPI since 2009.

In the registry since
2009
Specialties on file
15
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15611 Pomerado Rd Ste 400
Poway, CA 92064-2437
Phone: (858) 613-8900
Fax: (858) 618-1523
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Nutritionist Taxonomy 133N00000X
Allergy & Immunology Physician Taxonomy 207K00000X
Dermatology Physician Taxonomy 207N00000X
Internal Medicine Physician Taxonomy 207R00000X
Ophthalmology Physician Taxonomy 207W00000X
Orthopaedic Surgery Physician Taxonomy 207X00000X
Sleep Medicine (Otolaryngology) Physician Taxonomy 207YS0012X
Otolaryngology/Facial Plastic Surgery Physician Taxonomy 207YX0905X
Pediatrics Physician Taxonomy 208000000X
Surgery Physician Taxonomy 208600000X
Physician Assistant Taxonomy 363A00000X
Surgical Physician Assistant Taxonomy 363AS0400X
Family Nurse Practitioner Taxonomy 363LF0000X
Pediatric Nurse Practitioner Taxonomy 363LP0200X

Record details

NPI number1366685737
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationYes
Authorized official Lawrence Koenig — Medical Director · (858) 613-8900
Other names Centre For Healthcare
NPI enumeratedApril 14, 2009
Last updated in NPPESApril 14, 2009
Mailing address15611 Pomerado Rd, Suite 400, Poway, CA 92064-2437

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