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Organization
RESTORIX MEDICAL GROUP OF CALIFORNIA PC
Active
Organization
RESTORIX MEDICAL GROUP OF CALIFORNIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN FALLOU (CEO)
(425) 688-3734
Entity
Organization
Contact information
Practice address
28078 BAXTER ROAD, SUITE 410, MURRIETA, CA 92563-1400
(951) 566-9800
(951) 566-9801
Mailing address
PO BOX 190, BELLEVUE, WA 98009-0190
(425) 688-3730
(425) 453-6345
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
20A7477
CA
Other
Enumeration date
01/24/2011
Last updated
10/18/2012
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