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Organization
ORANGECREST MEDICAL GROUP, INC.
Active
Organization
ORANGECREST MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOLANDA SANCHEZ (OPERATIONS MANAGER)
(951) 682-1622
Entity
Organization
Contact information
Practice address
4646 BROCKTON AVE STE 203, RIVERSIDE, CA 92506-0104
(951) 774-2881
(951) 774-2846
Mailing address
4646 BROCKTON AVE STE 203, RIVERSIDE, CA 92506-0104
(951) 774-2881
(951) 774-2846
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4232015
ARTICLES OF INCORPORATION
CA
Enumeration date
02/22/2019
Last updated
10/13/2023
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