Pacific Crest Medical Group INC

NPI #1932131653 in Dana Point, California

Provider Information

NPI Number: 1932131653
Entity Type: Organization
Organization Name: Pacific Crest Medical Group INC
Primary Specialty: Specialist
Enumeration Date: Jul 6, 2006
Last Updated: Feb 6, 2012

Practice Location

Address: 34052 LA PLZ
Address 2: SUITE 101
City: Dana Point
State: California
ZIP Code: 92629-2587
Phone: (949) 388-4316

Authorized Official

Name: LESLEY ROBERTS
Title: CONTROLLER
Phone: (949) 388-4316

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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