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Organization
PEPPERTREE MULTISPECIALTY MEDICAL GROUP, INC.
Active
Organization
PEPPERTREE MULTISPECIALTY MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEAU MICHAEL CHUNG DO (MEDICAL DIRECTOR)
(949) 274-8807
Entity
Organization
Contact information
Practice address
3220 S BREA CANYON RD STE H, DIAMOND BAR, CA 91765-3481
(909) 594-1848
(909) 594-7959
Mailing address
3220 BREA CANYON RD., STE H, DIAMOND BAR, CA 91765-3339
(909) 594-1848
(909) 594-7959
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G36420
CA
Other
Enumeration date
04/10/2007
Last updated
07/11/2019
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