South County Physicians Medical Group Inc.
NPI #1790990257 in Fountain Valley, California
Provider Information
- NPI Number
- 1790990257
- Entity Type
- Organization
- Organization Name
- South County Physicians Medical Group Inc.
- Primary Specialty
- Internal Medicine
- Enumeration Date
- May 10, 2007
- Last Updated
- Jan 26, 2015
Practice Location
- Address
- 11180 WARNER AVE
- Address 2
- 165
- City
- Fountain Valley
- State
- California
- ZIP Code
- 92708-7501
- Phone
- (714) 751-0995
Authorized Official
- Name
- PAM CALDERON
- Title
- BILLING MANAGER
- Phone
- (310) 343-8884
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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