# SONORA MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083886246
- **Authorized official:** ALBERT SIMPKINS JR. (PHYSICIAN)
- **Authorized official phone:** (909) 581-7274

## Contact information

- **Practice address:** 10600 MAGNOLIA AVE, SUITE 1, RIVERSIDE, CA 92505-1819
- **Practice address phone:** (909) 581-7274
- **Practice address fax:** (909) 581-7275
- **Mailing address:** 3607 OLD CONEJO RD, THOUSAND OAKS, CA 91320-2123
- **Mailing address phone:** (805) 375-0800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | AS1156567 | CA | Yes |

## Other

- **Enumeration date:** 03/27/2008
- **Last updated:** 03/27/2008