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Organization
SAN DIEGO HOSPITAL BASED PHYSICIAN
Active
Organization
SAN DIEGO HOSPITAL BASED PHYSICIAN
Active
Other names
El Centro Hospital Based Physician
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA E RAMIREZ MD (CO-OWNER)
(858) 495-0971
Entity
Organization
Contact information
Practice address
1415 ROSS AVE, EL CENTRO, CA 92243-4306
(760) 339-7100
(760) 339-7389
Mailing address
11438 STOCKWOOD CV, SAN DIEGO, CA 92131-4254
(858) 495-0971
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A60709
CA
Other
Enumeration date
04/09/2009
Last updated
04/09/2009
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