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Park Terrace Medical Associates Inc

Family Medicine Physician in Poway, CA · enumerated 2009 · authorized official Lawrence Koenig, Medical Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1366685737

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Registry record

Entity type Organization (Type 2)
Legal business name Park Terrace Medical Associates Inc
Other name <Unavail>
Parent organization Yes
Practice address 15611 Pomerado Rd, Suite 400, Poway, CA, 92064
Phone (858) 613-8900
Fax (858) 618-1523
Enumeration date Apr 14, 2009
Last updated in NPPES Apr 14, 2009

Taxonomy & classification

133N00000X Nutritionist Dietary & Nutritional Service Providers Secondary
207K00000X Allergy & Immunology Physician Allopathic & Osteopathic Physicians Secondary
207N00000X Dermatology Physician Allopathic & Osteopathic Physicians Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary
207W00000X Ophthalmology Physician Allopathic & Osteopathic Physicians Secondary
207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians Secondary
207YS0012X Sleep Medicine (Otolaryngology) Physician Allopathic & Osteopathic Physicians Secondary
207YX0905X Otolaryngology/Facial Plastic Surgery Physician Allopathic & Osteopathic Physicians Secondary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Secondary
208600000X Surgery Physician Allopathic & Osteopathic Physicians Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary
363AS0400X Surgical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary
363LP0200X Pediatric Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Lawrence Koenig
Title Medical Director
Phone (858) 613-8900

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2009-04-14. Verify at npiregistry.cms.hhs.gov.
Where is Park Terrace Medical Associates Inc located?
The practice location on file with NPPES is in Poway, CA.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-04-14.