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Organization
SOUTH BAY COMPREHENSIVE PRIMARY CARE A MEDICAL CORP
Active
Organization
SOUTH BAY COMPREHENSIVE PRIMARY CARE A MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUNNYLINE P VENDIOLA M.D. (PRESIDENT)
(619) 575-4442
Entity
Organization
Contact information
Practice address
655 SATURN BLVD, SUITE #J, SAN DIEGO, CA 92154-4734
(619) 575-4442
(619) 575-1297
Mailing address
655 SATURN BLVD, SUITE #J, SAN DIEGO, CA 92154-4734
(619) 575-4442
(619) 575-1297
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A55888
CA
Other
Enumeration date
06/17/2009
Last updated
06/17/2009
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