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Organization
PK MEDICAL GROUP INC
Active
Organization
PK MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS DOSUMU-JOHNSON M.D. (CEO)
(651) 252-3560
Entity
Organization
Contact information
Practice address
2549 EASTBLUFF DR STE B, NEWPORT BEACH, CA 92660-3599
(562) 733-9789
(818) 583-0054
Mailing address
2549 EASTBLUFF DR STE B, NEWPORT BEACH, CA 92660-3599
(562) 733-9789
(818) 583-0054
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A34329
CA
Other
Enumeration date
07/22/2015
Last updated
11/03/2015
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