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Organization
SANTA CRUZ PERSONAL PHYSICIANS INC
Active
Organization
SANTA CRUZ PERSONAL PHYSICIANS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MERCEDES GRACE LAURENCIN MD (CEO)
(831) 421-9535
Entity
Organization
Contact information
Practice address
634 FREDERICK ST, SANTA CRUZ, CA 95062
(831) 421-9535
(831) 421-9290
Mailing address
634 FREDERICK ST, SANTA CRUZ, CA 95062
(831) 421-9535
(831) 421-9290
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G51038
CA
Other
Enumeration date
09/20/2006
Last updated
04/13/2018
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