San Clemente Diagnostic Medical Clinic
NPI #1942414032 in San Clemente, California
Provider Information
- NPI Number
- 1942414032
- Entity Type
- Organization
- Organization Name
- San Clemente Diagnostic Medical Clinic
- Primary Specialty
- Specialist
- Enumeration Date
- May 9, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 665 CAMINO DE LOS MARES STE 305
- City
- San Clemente
- State
- California
- ZIP Code
- 92673-2841
- Phone
- (949) 661-1215
Authorized Official
- Name
- ARTURO FONTANES
- Title
- PRESIDENT
- Phone
- (949) 493-0811
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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