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Organization
SOUTHERN CALIFORNIA HEALTH PROVIDERS MEDICAL GRP INC
Active
Organization
SOUTHERN CALIFORNIA HEALTH PROVIDERS MEDICAL GRP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REUBEN M FARRIS (MD)
(619) 422-8338
Entity
Organization
Contact information
Practice address
340 FOURTH AVENUE, SUITE 2, CHULA VISTA, CA 91910
(619) 422-8338
(619) 476-7679
Mailing address
340 FOURTH AVENUE, SUITE 2, CHULA VISTA, CA 91910
(619) 422-8338
(619) 476-7679
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/06/2006
Last updated
08/22/2020
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