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Organization
FIRST AMERICANS MEDICAL GROUP, INC.
Active
Organization
FIRST AMERICANS MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES NOVAK MD (MEDICAL DIRECTOR)
(858) 270-7633
Entity
Organization
Contact information
Practice address
12359 MALKI RD, BANNING, CA 92220-6974
(951) 922-2058
(888) 551-2116
Mailing address
4440 LAMONT ST, SAN DIEGO, CA 92109-4560
(858) 270-7633
(858) 270-7692
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/16/2019
Last updated
10/16/2019
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