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Organization
MAYFLOWER MEDICAL GROUP, INC.
Active
Organization
MAYFLOWER MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARACELI FUENTES (CONTRACTS MANAGER)
(626) 800-1200
Entity
Organization
Contact information
Practice address
1433 N. HOLLENBECK AVE., SUITE 200, COVINA, CA 91722
(626) 331-2209
(626) 967-1410
Mailing address
1433 N. HOLLENBECK AVE., SUITE 200, 100, 104, COVINA, CA 91722
(626) 331-2209
(626) 967-1410
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A94585
CA
207Q00000X
Family Medicine Physician
A96423
CA
207R00000X
Internal Medicine Physician
A46009
CA
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
06/02/2006
Last updated
06/25/2019
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