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1992710826
OCEAN BEACH MEDICAL GROUP
SAN DIEGO, CA
NPI
1992710826
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Entity Type
Organization
Authorized Contact
JEOFFRY BRUCE GORDON
Owner
619-223-7164
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA G19279)
Enumeration Date
2006-07-29
Last Update Date
2008-06-18
Business Address
OCEAN BEACH MEDICAL GROUP
1947 CABLE ST
SAN DIEGO, CA 92107-2807
Phone number: 619-223-7164
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Mailing Address
OCEAN BEACH MEDICAL GROUP
1947 CABLE ST
SAN DIEGO, CA 92107-2807
Phone number: 619-223-7164
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