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Organization
TEAM PHYSICIANS OF SOUTHERN CALIFORNIA MEDICAL GROUP, INC.
Active
Organization
TEAM PHYSICIANS OF SOUTHERN CALIFORNIA MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTOPHER M. SMITH (CFO)
(925) 924-1600
Entity
Organization
Contact information
Practice address
4002 VISTA WAY, OCEANSIDE, CA 92056-4506
(925) 924-1600
(925) 924-0506
Mailing address
5000 HOPYARD RD, SUITE 100, PLEASANTON, CA 94588-3348
(925) 924-1600
(925) 924-0506
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
03/08/2016
Last updated
01/10/2020
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