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1609817626
OC LATINO MEDICAL GROUP INC
COSTA MESA, CA
NPI
1609817626
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Entity Type
Organization
Authorized Contact
GASTON F CILLIANI
Md
949-574-2121
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A24756)
Enumeration Date
2006-06-09
Last Update Date
2008-06-24
Business Address
OC LATINO MEDICAL GROUP INC
767 W 19TH STREET 101
COSTA MESA, CA 92627
Phone number: 949-574-2121
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Mailing Address
OC LATINO MEDICAL GROUP INC
767 W 19TH STREET 101
COSTA MESA, CA 92627
Phone number: 949-574-2121
Copy
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