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Organization
MANSFIELD PROFESSIONAL MEDICAL CORPORATION
Active
Organization
MANSFIELD PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALFRED C MA MD (PRESIDENT)
(951) 486-4574
Entity
Organization
Contact information
Practice address
26520 CACTUS AVE, RM# F2027, MORENO VALLEY, CA 92555-3927
(951) 486-4574
(951) 486-4560
Mailing address
PO BOX 2757, ORANGE, CA 92859-0757
(714) 973-2650
(714) 973-2655
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0086870
—
CA
Enumeration date
01/30/2007
Last updated
09/03/2014
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