El Cajon Medical Group INC

NPI #1265967491 in Brawley, California

Provider Information

NPI Number: 1265967491
Entity Type: Organization
Organization Name: El Cajon Medical Group INC
Primary Specialty: Internal Medicine
Enumeration Date: Apr 25, 2017
Last Updated: Feb 3, 2019

Practice Location

Address: 751 W LEGION RD STE 300
City: Brawley
State: California
ZIP Code: 92227-7755
Phone: (760) 351-4848

Authorized Official

Name: DR. MEHBOOB GHULAM, DO
Title: OWNER
Phone: (760) 351-4848

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Internal Medicine	207R00000X	Primary

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