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Organization
CROWN CITY MEDICAL GROUP, INC.
Active
Organization
CROWN CITY MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN B. TYSON M.D. (MIDICAL DIRECTOR)
(626) 798-8792
Entity
Organization
Contact information
Practice address
2661 E WASHINGTON BLVD, PASADENA, CA 91107-1412
(626) 798-4952
(626) 296-1403
Mailing address
2661 E WASHINGTON BLVD, PASADENA, CA 91107-1412
(626) 798-8792
(626) 296-1403
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
CA
Other
Enumeration date
07/14/2005
Last updated
07/28/2014
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