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Organization

ARDENT MEDICAL GROUP PC

Active
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Organization

ARDENT MEDICAL GROUP PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KENNETH REYES (CFO)
(619) 993-7743
Entity
Organization

Contact information

Practice address
809 BOWSPRIT RD # 207, CHULA VISTA, CA 91914-4527
(310) 418-4757
Mailing address
809 BOWSPRIT RD # 207, CHULA VISTA, CA 91914-4527
(619) 993-7743
(619) 566-4032

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—

Other

Enumeration date
03/10/2025
Last updated
05/05/2026
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