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Organization
MDNP PROVIDERS INC
Active
Organization
MDNP PROVIDERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA CASTROMAYOR RN (PRESIDENT)
(714) 408-6522
Entity
Organization
Contact information
Practice address
120 W BEVERLY BLVD, MONTEBELLO, CA 90640-4305
(909) 576-8889
Mailing address
596 N LAKE AVE STE 203, 203, PASADENA, CA 91101-1222
(714) 408-6522
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/08/2013
Last updated
12/10/2013
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