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Organization
MONTEREY OBGYN MEDICAL GROUP INC
Active
Organization
MONTEREY OBGYN MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ENRIQUE G JACOME MD (OWNER/PHYSICIAN)
(760) 779-5511
Entity
Organization
Contact information
Practice address
72780 COUNTRY CLUB DR STE A103, RANCHO MIRAGE, CA 92270
(760) 779-5511
(760) 773-3320
Mailing address
72780 COUNTRY CLUB DR STE A103, RANCHO MIRAGE, CA 92270
(760) 779-5511
(760) 773-3320
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A44682
CA
Other
Enumeration date
05/09/2008
Last updated
05/09/2008
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