# CENTRO MEDICO GENERAL, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CENTRO MEDICO GENERAL, INC.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295369791
- **Authorized official:** DIEGO IVAN KRIGER MD (MEDICAL DOCTOR)
- **Authorized official phone:** (951) 822-7191

## Contact information

- **Practice address:** 2090 S EUCLID ST, ANAHEIM, CA 92802-3143
- **Practice address phone:** (714) 539-2200
- **Practice address fax:** (714) 539-2277
- **Mailing address:** 2090 S EUCLID ST, ANAHEIM, CA 92802-3143
- **Mailing address phone:** (714) 539-2200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/24/2020
- **Last updated:** 02/26/2020