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Organization
PRIMARY CARE PHYSICIANS OF SOUTH BAY MEDICAL GROUP INC
Active
Organization
PRIMARY CARE PHYSICIANS OF SOUTH BAY MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS A CASTRO MD (PRESIDENT)
(619) 267-9047
Entity
Organization
Contact information
Practice address
2340 E 8TH ST, SUITE A, NATIONAL CITY, CA 91950-2869
(619) 267-9047
(619) 267-7955
Mailing address
2340 E 8TH ST, SUITE A, NATIONAL CITY, CA 91950-2869
(619) 267-9047
(619) 267-7955
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A42911
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A42911
THE MEDICAL BOARD OF CALIFORNIA
CA
Enumeration date
09/21/2010
Last updated
06/29/2011
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