One Stop Mulit Specialty Medical Group, Inc,

NPI #1346569167 in Indio, California

Provider Information

NPI Number
1346569167
Entity Type
Organization
Organization Name
One Stop Mulit Specialty Medical Group, Inc,
Subpart
Yes (part of a larger organization)
Parent Organization
ONE STOP MULIT SPECIALTY MEDICAL GROUP, INC,
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
May 18, 2010
Last Updated
Mar 1, 2011

Practice Location

Address
81557 DOCTOR CARREON BLVD STE B5
City
Indio
ZIP Code
92201-5562
Phone
(909) 483-3530

Authorized Official

Name
EDUARDO ANGUIZOLA, M.D.
Title
MEDICAL DIRECTOR
Phone
(909) 483-3530

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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