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Organization
MULTISPECIALITY AND OCCUPATIONAL INJURY MEDICAL CENTER A MED CORP
Active
Organization
MULTISPECIALITY AND OCCUPATIONAL INJURY MEDICAL CENTER A MED CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STELLA ARA (OFFICE MANAGER/BILLER)
(951) 340-2178
Entity
Organization
Contact information
Practice address
703 MAGNOLIA AVE, CORONA, CA 92879-3118
(951) 340-2178
(951) 340-2478
Mailing address
703 MAGNOLIA AVE, CORONA, CA 92879-3118
(951) 340-2178
(951) 340-2478
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A68736
CA
207R00000X
Internal Medicine Physician
A70230
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A687360
—
CA
Enumeration date
10/06/2010
Last updated
03/07/2011
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