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Organization
L & G MEDICAL GROUP INC
Active
Organization
L & G MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAEED GHOLAMI MD (INCORPORATOR)
(954) 255-5200
Entity
Organization
Contact information
Practice address
1205 E NORTH ST, MANTECA, CA 95336-4932
(209) 823-3111
Mailing address
PO BOX 7156, STOCKTON, CA 95267-0156
(209) 467-6866
(209) 467-6865
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G74551
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G745512
—
CA
Enumeration date
12/05/2006
Last updated
02/12/2009
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