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Organization
SOUTHERN CALIFORNIA INTERNAL MEDICINE GROUP
Active
Organization
SOUTHERN CALIFORNIA INTERNAL MEDICINE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OSVALDO A. LOPEZ M.D. (PROPRIETOR)
(951) 331-2200
Entity
Organization
Contact information
Practice address
31805 TEMECULA PKWY STE 165, TEMECULA, CA 92592-8203
(951) 331-2200
Mailing address
31805 TEMECULA PKWY STE 165, TEMECULA, CA 92592-8203
(951) 331-2200
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
A61258
CA
Other
Enumeration date
02/03/2017
Last updated
02/03/2017
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