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Organization
CROSSOVER HEALTH MEDICAL GROUP
Active
Organization
CROSSOVER HEALTH MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE SAKIOKA (ADMINISTRATION)
(949) 891-0328
Entity
Organization
Contact information
Practice address
806 JACKSON ST, COLUMBUS, IN 47201-6264
(949) 891-0328
(949) 272-0159
Mailing address
65 ENTERPRISE, ALISO VIEJO, CA 92656-2705
(949) 891-0328
(949) 272-0159
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A74385
CA
Other
Enumeration date
03/10/2015
Last updated
03/10/2015
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