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Organization
PRIMARY CARE SPORTS MD GROUP INC
Active
Organization
PRIMARY CARE SPORTS MD GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EFREN F WU MD (PRESIDENT)
(760) 360-1000
Entity
Organization
Contact information
Practice address
47647 CALEO BAY DR STE 140, LA QUINTA, CA 92253-8857
(760) 360-1000
(760) 610-6171
Mailing address
47647 CALEO BAY DR STE 140, LA QUINTA, CA 92253-8857
(760) 360-1000
(760) 610-6171
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A121278
CA
Other
Enumeration date
05/15/2018
Last updated
03/04/2020
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