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Organization
GENESEE MEDICAL GROUP INC
Active
Organization
GENESEE MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD P TECCA MD (OWNER)
(858) 268-1111
Entity
Organization
Contact information
Practice address
7830 CLAIREMONT MESA BLVD, SUITE 100, SAN DIEGO, CA 92111-1619
(858) 268-1111
(858) 268-0761
Mailing address
7830 CLAIREMONT MESA BLVD, SUITE 100, SAN DIEGO, CA 92111-1619
(858) 268-1111
(858) 268-0761
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G45791
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010860
MEDICAID GROUP
CA
01
—
WG45791A
MEDICARE GROUP
—
Enumeration date
03/03/2008
Last updated
04/29/2020
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