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Organization
SAN JOAQUIN PRIME CARE MEDICAL GROUP INC.
Active
Organization
SAN JOAQUIN PRIME CARE MEDICAL GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEFAN PENTSCHEV M.D. (MEDICAL DIRECTOR)
(559) 592-2134
Entity
Organization
Contact information
Practice address
536 N COURT ST, VISALIA, CA 93291-4913
(559) 592-2134
Mailing address
330 E PINE ST, EXETER, CA 93221-1838
(559) 592-2134
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A043893
CA
Other
Enumeration date
01/28/2016
Last updated
01/28/2016
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