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Organization
MEMORIAL RESEARCH MEDICAL CLINIC
Active
Organization
MEMORIAL RESEARCH MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL M NEUTEL M.D. (MED DIRECTOR)
(714) 550-9990
Entity
Organization
Contact information
Practice address
14351 MYFORD RD, SUITE B, TUSTIN, CA 92780-7045
(714) 550-9990
(714) 210-7087
Mailing address
14351 MYFORD RD, SUITE B, TUSTIN, CA 92780-7045
(714) 550-9990
(714) 210-7087
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A50551
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A50551
LICENSE NO
CA
Enumeration date
02/14/2008
Last updated
07/30/2008
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