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Organization
MMR MEDICAL GROUP INC
Active
Organization
MMR MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN R MEDINA M.D. (PRESIDENT)
(559) 992-3300
Entity
Organization
Contact information
Practice address
1310 HANNA AVE, STE 1, CORCORAN, CA 93212-2314
(559) 992-3300
(559) 992-8162
Mailing address
PO BOX 71, HANFORD, CA 93232-0071
(559) 992-3300
(559) 992-8162
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0089410
—
CA
Enumeration date
09/20/2006
Last updated
08/22/2020
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