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Organization
RANCHO SANTA FE MEDICAL GROUP, INC.
Active
Organization
RANCHO SANTA FE MEDICAL GROUP, INC.
Active
Other names
Mobile Doctor Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS JOSEPH NAVAZO M.D. (MEDICAL DIRECTOR)
(760) 591-9975
Entity
Organization
Contact information
Practice address
3230 WARING CT STE Q, OCEANSIDE, CA 92056-4509
(760) 591-9975
(760) 591-9976
Mailing address
3230 WARING CT STE Q, OCEANSIDE, CA 92056-4509
(760) 591-9975
(760) 591-9976
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
213E00000X
Podiatrist
—
—
2471C3402X
Radiography Radiologic Technologist
RHC138799
CA
291U00000X
Clinical Medical Laboratory
05D0936324
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G729400
—
CA
01
—
ZZZ553802
BCBS
CA
Enumeration date
02/05/2007
Last updated
02/23/2024
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