Cordova Medical & Diagnostic Group INC

NPI #1285916221 in Mission Viejo, California

Provider Information

NPI Number: 1285916221
Entity Type: Organization
Organization Name: Cordova Medical & Diagnostic Group INC
Primary Specialty: General Practice
Enumeration Date: Sep 15, 2011
Last Updated: Oct 7, 2011

Practice Location

Address: 26732 CROWN VALLEY PKWY
Address 2: STE 421
City: Mission Viejo
State: California
ZIP Code: 92691-6306
Phone: (949) 347-8721

Authorized Official

Name: MR. WARNER GLASSFORD
Title: CFO
Phone: (310) 775-7795

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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