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Organization
EASTLAKE FAMILY MEDICAL INC.
Active
Organization
EASTLAKE FAMILY MEDICAL INC.
Active
Other names
Eastlake Family Medical Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA DE LOS ANGELES OSEGUERA M.D. (PRESIDENT)
(619) 946-4073
Entity
Organization
Contact information
Practice address
2452 FENTON STREET, SUITE 301, CHULA VISTA, CA 91914
(619) 946-4073
(619) 946-7243
Mailing address
2452 FENTON STREET, SUITE 301, CHULA VISTA, CA 91914
(619) 946-4073
(619) 946-7243
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A 6433
CA
Other
Enumeration date
10/23/2006
Last updated
06/05/2014
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