Oc Latino Medical Group INC
NPI #1609817626 in Costa Mesa, California
Provider Information
- NPI Number
- 1609817626
- Entity Type
- Organization
- Organization Name
- Oc Latino Medical Group INC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jun 9, 2006
- Last Updated
- Jun 24, 2008
Practice Location
- Address
- 767 W 19TH STREET
- Address 2
- 101
- City
- Costa Mesa
- State
- California
- ZIP Code
- 92627
- Phone
- (949) 574-2121
Authorized Official
- Name
- GASTON F CILLIANI, MD
- Title
- MD
- Phone
- (949) 574-2121
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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