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Organization
MAYFLOWER MEDICAL GROUP, INC.
Active
Organization
MAYFLOWER MEDICAL GROUP, INC.
Active
Other names
Mayflower Medical Group, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA CARBAJAL (SITE MANAGER)
(626) 800-1200
Entity
Organization
Contact information
Practice address
140 N ORANGE AVE., SUITE 100, WEST COVINA, CA 91790-2032
(626) 800-1200
(626) 962-2471
Mailing address
140 N ORANGE AVE STE 100, WEST COVINA, CA 91790-2032
(626) 800-1200
(626) 962-2471
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6409040
—
CA
Enumeration date
02/06/2012
Last updated
04/23/2026
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