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Organization
SAN MARTIN DEPORRES MEDICAL GROUP OF SANTA ANA
Active
Organization
SAN MARTIN DEPORRES MEDICAL GROUP OF SANTA ANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELIOTT ROMERO M.D. (OWNER)
(714) 953-6430
Entity
Organization
Contact information
Practice address
1701 E MCFADDEN AVE, UNIT D, SANTA ANA, CA 92705-4647
(714) 953-6430
Mailing address
1701 E MCFADDEN AVE, UNIT D, SANTA ANA, CA 92705-4647
(714) 953-6430
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G48383
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G483931
—
CA
Enumeration date
04/11/2008
Last updated
04/11/2008
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