San Clemente Family Medicine
NPI #1154642452 in San Clemente, California
Provider Information
- NPI Number
- 1154642452
- Entity Type
- Organization
- Organization Name
- San Clemente Family Medicine
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jun 21, 2010
- Last Updated
- Jun 21, 2010
Practice Location
- Address
- 1300 AVENIDA VISTA HERMOSA
- Address 2
- SUITE 200
- City
- San Clemente
- State
- California
- ZIP Code
- 92673-6315
- Phone
- (949) 452-3199
Authorized Official
- Name
- DR. SUSAN YVONNE MELVIN, D.O.
- Title
- PRESIDENT/CEO
- Phone
- (562) 933-0055
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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