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Organization
SOUTHLAND MEDICAL GROUP,LLC
Active
Organization
SOUTHLAND MEDICAL GROUP,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARTIS WOODWARD MD (DIRECTOR)
(714) 636-3736
Entity
Organization
Contact information
Practice address
17870 NEWHOPE ST., SUITE 104-276, FOUNTAIN VALLEY, CA 92708
(171) 463-6373
Mailing address
17870 NEWHOPE ST., SUITE 104-276, FOUNTAIN VALLEY, CA 92708
(171) 463-6373
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A40488
CA
Other
Enumeration date
12/18/2013
Last updated
12/18/2013
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