# METRO FAMILY PHYSICIANS MEDICAL GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639257710
- **Authorized official:** ADA MARIN M.D. (PHYSICIAN/OWNER)
- **Authorized official phone:** (858) 514-3780

## Contact information

- **Practice address:** 5030 CAMINO DE LA SIESTA, SUITE \#204, SAN DIEGO, CA 92108
- **Practice address phone:** (858) 514-3780
- **Practice address fax:** (858) 565-6811
- **Mailing address:** 5030 CAMINO DE LA SIESTA, SUITE \#204, SAN DIEGO, CA 92108
- **Mailing address phone:** (858) 514-3780
- **Mailing address fax:** (858) 565-6811

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 20A7010 | CA | Yes |
| 207Q00000X | Family Medicine Physician | A063890 | CA | — |
| 207Q00000X | Family Medicine Physician | G053378 | CA | — |

## Other

- **Enumeration date:** 11/02/2006
- **Last updated:** 03/16/2015