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Organization
XPERTCARE MEDICAL GROUP PC
Active
Organization
XPERTCARE MEDICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA R DIENNO (MD)
(443) 554-0349
Entity
Organization
Contact information
Practice address
11622 EL CAMINO REAL, SAN DIEGO, CA 92130-2049
(443) 554-0349
Mailing address
11622 EL CAMINO REAL, SAN DIEGO, CA 92130-2049
(443) 554-0349
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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