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Organization
SAN DIEGORHEUMATOLOGY MEDICAL GROUP, INC.
Active
Organization
SAN DIEGORHEUMATOLOGY MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE H.Y. NGUYEN M.D. (PRESIDENT)
(619) 293-0351
Entity
Organization
Contact information
Practice address
202 LEWIS ST, SAN DIEGO, CA 92103-2107
(619) 293-0351
(619) 293-0352
Mailing address
202 LEWIS ST, SAN DIEGO, CA 92103-2107
(619) 293-0351
(619) 293-0352
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0100540
—
CA
Enumeration date
03/09/2006
Last updated
08/22/2020
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