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Organization
SOUTH BAY INTERNAL MEDICAL GRP INC
Active
Organization
SOUTH BAY INTERNAL MEDICAL GRP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA CRAWFORD (OFFICE MANAGER)
(619) 425-9802
Entity
Organization
Contact information
Practice address
480 4TH AVE STE 206, CHULA VISTA, CA 91910-4412
(619) 425-9802
(619) 425-1488
Mailing address
480 4TH AVE STE 206, CHULA VISTA, CA 91910-4412
(619) 425-9802
(619) 425-1488
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
A20713
CA
Other
Enumeration date
10/18/2007
Last updated
11/05/2007
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