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1780128256
ADVANCED MD MEDICAL GROUP INC
SAN DIEGO, CA
NPI
1780128256
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Entity Type
Organization
Authorized Contact
DIRK KANCILIA
Administration
858-345-4887
Organization Subpart ?
No
Primary Taxonomy
208D00000X General Practice
(Licence: CA G87969)
Enumeration Date
2016-12-18
Last Update Date
2016-12-18
Business Address
ADVANCED MD MEDICAL GROUP INC
2878 CAMINO DEL RIO S STE 404
SAN DIEGO, CA 92108-3848
Phone number: 858-345-4887
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Mailing Address
ADVANCED MD MEDICAL GROUP INC
235 W WASHINGTON AVE A55
ESCONDIDO, CA 92025-2634
Phone number: 858-345-4887
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