Coronado Medical Group, Inc.

NPI #1548343999 in Coronado, California

Provider Information

NPI Number: 1548343999
Entity Type: Organization
Organization Name: Coronado Medical Group, Inc.
Primary Specialty: Family Medicine
Enumeration Date: Oct 21, 2006
Last Updated: Dec 27, 2012

Practice Location

Address: 230 PROSPECT PL STE 340B
City: Coronado
State: California
ZIP Code: 92118-1991
Phone: (619) 522-4000

Authorized Official

Name: DR. KENNETH WARM, M.D.
Title: OWNER/CEO
Phone: (619) 522-4000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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