# DR. SARPOMA MD INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Veteran Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528749751
- **Authorized official:** DR. MAMIE SARPOMA SEFA-BOAKYE MD (MEDICAL DIRECTOR AND CEO)
- **Authorized official phone:** (909) 210-6138

## Contact information

- **Practice address:** 2420 VISTA WAY STE 102, OCEANSIDE, CA 92054-6190
- **Practice address phone:** (619) 202-5663
- **Mailing address:** 211 BROOKS ST UNIT 1545, OCEANSIDE, CA 92051-7024
- **Mailing address phone:** (619) 202-5663

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/31/2023
- **Last updated:** 07/31/2023