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Organization
REMEDIAL MEDICAL GROUP
Active
Organization
REMEDIAL MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAFAEL ARTURO PENUNURI MD (CEO)
(951) 243-8517
Entity
Organization
Contact information
Practice address
12730 HEACOCK ST STE 4A, MORENO VALLEY, CA 92553-3040
(951) 243-8517
(951) 243-8617
Mailing address
12730 HEACOCK ST STE 4A, MORENO VALLEY, CA 92553-3040
(951) 243-8517
(951) 243-8617
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/27/2018
Last updated
05/08/2018
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