Healthcare Providers of California Medical Group, INC
NPI #1003846486 in San Ysidro, California
Provider Information
- NPI Number
- 1003846486
- Entity Type
- Organization
- Organization Name
- Healthcare Providers of California Medical Group, INC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Jul 3, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 342 W SAN YSIDRO BLVD
- Address 2
- #F
- City
- San Ysidro
- State
- California
- ZIP Code
- 92173-2495
- Phone
- (619) 662-3880
Authorized Official
- Name
- DR. EDWARD JOHN GIAQUINTO JR., PH.D.
- Title
- PRESIDENT
- Phone
- (818) 421-2799
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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