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Organization
SHARPCARE MEDICAL GROUP, APC
Active
Organization
SHARPCARE MEDICAL GROUP, APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH ROTH M.D. (PRESIDENT)
(858) 541-0181
Entity
Organization
Contact information
Practice address
230 PROSPECT PLACE, SUITE 340-B, CORONADO, CA 92118
(619) 522-4000
(619) 435-0150
Mailing address
8695 SPECTRUM CENTER BLVD., ATTN: NETWORK MANAGEMENT - 4TH FLOOR, SAN DIEGO, CA 92123
(858) 499-4510
(858) 636-2243
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
07/22/2013
Last updated
11/04/2016
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