Center for Primary Care Medical Group INC
NPI #1467633362 in Fountain Valley, California
Provider Information
- NPI Number
- 1467633362
- Entity Type
- Organization
- Organization Name
- Center for Primary Care Medical Group INC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Nov 19, 2007
- Last Updated
- Nov 22, 2013
Practice Location
- Address
- 8700 WARNER AVE
- Address 2
- SUITE 140
- City
- Fountain Valley
- State
- California
- ZIP Code
- 92708-3207
- Phone
- (714) 847-6727
Authorized Official
- Name
- ROBERT TAE HA, MD
- Title
- PRESIDENT
- Phone
- (714) 847-6727
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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