Ocean Breeze Medical Group, Inc.
NPI #1386790400 in San Clemente, California
Provider Information
- NPI Number
- 1386790400
- Entity Type
- Organization
- Organization Name
- Ocean Breeze Medical Group, Inc.
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jan 25, 2007
- Last Updated
- Dec 13, 2010
Practice Location
- Address
- 150 AVENIDA CABRILLO STE A
- City
- San Clemente
- State
- California
- ZIP Code
- 92672-5595
- Phone
- (949) 369-6993
Authorized Official
- Name
- DR. RICARDO DAVALOS, M.D.
- Title
- OWNER
- Phone
- (949) 369-6993
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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