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1073512836
CROWN CITY MEDICAL GROUP, INC.
PASADENA, CA
NPI
1073512836
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Entity Type
Organization
Authorized Contact
KEVIN B. TYSON
Midical Director
626-798-8792
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2005-07-14
Last Update Date
2014-07-28
Business Address
CROWN CITY MEDICAL GROUP, INC.
2661 E WASHINGTON BLVD
PASADENA, CA 91107-1412
Phone number: 626-798-4952
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Mailing Address
CROWN CITY MEDICAL GROUP, INC.
2661 E WASHINGTON BLVD
PASADENA, CA 91107-1412
Phone number: 626-798-8792
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