Santa Cruz Medical Clinic

NPI #1013199348 in Manassas, Virginia

Provider Information

NPI Number: 1013199348
Entity Type: Organization
Organization Name: Santa Cruz Medical Clinic
Primary Specialty: Family Medicine
Enumeration Date: Nov 28, 2007
Last Updated: May 15, 2008

Practice Location

Address: 8703 STONEWALL RD
Address 2: 2B
City: Manassas
State: Virginia
ZIP Code: 20110-8325
Phone: (703) 361-1955

Authorized Official

Name: DR. BYONG K KANG, M.D.
Title: DR.
Phone: (703) 361-1955

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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