CLINICA MEDICA SAN MIGUEL IPA, A MEDICAL GROUP, INC.

SAN MARINO, CA
NPI1447445200
Entity TypeOrganization
Authorized ContactLAN N PHAM
Administrator
626-656-2370
Organization Subpart ?No
Primary Taxonomy302F00000X Exclusive Provider Organization
Enumeration Date2007-09-13
Last Update Date2007-09-13
Business Address
CLINICA MEDICA SAN MIGUEL IPA, A MEDICAL GROUP, INC.
2360 HUNTINGTON DR STE 201
SAN MARINO, CA 91108-2651
Phone number: 626-656-2370
Mailing Address
CLINICA MEDICA SAN MIGUEL IPA, A MEDICAL GROUP, INC.
2360 HUNTINGTON DR STE 201
SAN MARINO, CA 91108-2651
Phone number: 626-656-2370
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