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Organization
PACIFIC CREST MEDICAL GROUP, INC.
Active
Organization
PACIFIC CREST MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KARLA J ANDERSON (MEDICAL BILLER)
(949) 597-0124
Entity
Organization
Contact information
Practice address
32341 GOLDEN LANTERN, SUITE M, LAGUNA NIGUEL, CA 92677-5343
(949) 597-0124
(949) 597-0124
Mailing address
32341 GOLDEN LANTERN, SUITE M, LAGUNA NIGUEL, CA 92677-5343
(949) 597-0124
(949) 597-0124
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C037249
CA
207Q00000X
Family Medicine Physician
C040002
CA
Other
Enumeration date
11/28/2005
Last updated
08/22/2020
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