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Organization
POPULAR MEDICAL CLINIC INC
Active
Organization
POPULAR MEDICAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE CILLIANI DO (OWNER)
(714) 541-5252
Entity
Organization
Contact information
Practice address
420 S BRISTOL STREET, SANTA ANA, CA 92703
(714) 541-5252
(714) 541-1402
Mailing address
420 S BRISTOL STREET, SANTA ANA, CA 92703
(714) 541-5252
(714) 541-1402
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0100300
—
CA
Enumeration date
06/03/2006
Last updated
05/02/2024
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