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1922245349
SHADY CANYON MEDICAL GROUP
IRVINE, CA
NPI
1922245349
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Entity Type
Organization
Authorized Contact
ALBERT BEOMJIN CHANG
CEO
951-375-8958
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A77997)
Enumeration Date
2009-01-08
Last Update Date
2009-01-08
Business Address
SHADY CANYON MEDICAL GROUP
16300 SAND CANYON AVE SUITE 901
IRVINE, CA 92618-3711
Phone number: 951-375-8958
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Mailing Address
SHADY CANYON MEDICAL GROUP
16300 SAND CANYON AVE SUITE 901
IRVINE, CA 92618-3711
Phone number: 951-375-8958
Copy
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