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Organization
SOUTH COUNTY PHYSICIANS MEDICAL GROUP INC.
Active
Organization
SOUTH COUNTY PHYSICIANS MEDICAL GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAM CALDERON (BILLING MANAGER)
(310) 343-8884
Entity
Organization
Contact information
Practice address
11180 WARNER AVE, 165, FOUNTAIN VALLEY, CA 92708-7501
(714) 751-0995
Mailing address
PO BOX 8907, FOUNTAIN VALLEY, CA 92728-8907
(714) 546-7118
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A63326
CA
Other
Enumeration date
05/10/2007
Last updated
01/26/2015
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