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Organization
PACIFIC CREST MEDICAL GROUP INC
Active
Organization
PACIFIC CREST MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLEY ROBERTS (CONTROLLER)
(949) 388-4316
Entity
Organization
Contact information
Practice address
34052 LA PLZ, SUITE 101, DANA POINT, CA 92629-2587
(949) 388-4316
(949) 388-4319
Mailing address
PO BOX 3630, DANA POINT, CA 92629-8630
(949) 388-4316
(949) 388-4319
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/06/2006
Last updated
02/06/2012
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