# CROSSOVER HEALTH MEDICAL GROUP

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

## Provider details

- **NPI number:** 1700514478
- **Authorized official:** ANGIE SAKIOKA (OPERATIONS SPECIALIST)
- **Authorized official phone:** (949) 891-0228

## Contact information

- **Practice address:** 101 5TH AVE, NEW YORK, NY 10003-1008
- **Practice address phone:** (949) 891-0328
- **Mailing address:** 101 W AVENIDA VISTA HERMOSA STE 120, SAN CLEMENTE, CA 92672-7707
- **Mailing address phone:** (714) 925-4054

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/10/2022
- **Last updated:** 08/10/2022