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Organization
MEDICOR MEDICAL GROUP, INC
Active
Organization
MEDICOR MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK L SHIU D.O. (PRESIDENT/CEO)
(909) 941-0855
Entity
Organization
Contact information
Practice address
7974 HAVEN AVE, SUITE 250, RANCHO CUCAMONGA, CA 91730-3052
(909) 941-0855
Mailing address
7974 HAVEN AVE, SUITE 250, RANCHO CUCAMONGA, CA 91730-3052
(909) 941-0855
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A9372
CA
Other
Enumeration date
11/02/2006
Last updated
07/15/2007
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