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Organization
EL CAJON MEDICAL GROUP INC
Active
Organization
EL CAJON MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEHBOOB GHULAM DO (OWNER)
(760) 351-4848
Entity
Organization
Contact information
Practice address
751 W LEGION RD STE 300, BRAWLEY, CA 92227-7755
(760) 351-4848
(760) 351-3839
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
04/25/2017
Last updated
02/03/2019
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