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Organization
SOUTH BAY OB/GYN MEDICAL GROUP, INC.
Active
Organization
SOUTH BAY OB/GYN MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUIE TRACEY (ADMINISTRATOR)
(619) 267-8313
Entity
Organization
Contact information
Practice address
655 EUCLID AVE, 409, NATIONAL CITY, CA 91950-2957
(619) 267-8313
Mailing address
655 EUCLID AVE, 409, NATIONAL CITY, CA 91950-2957
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/05/2005
Last updated
08/22/2020
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