# UNIVERSAL CARE MEDICAL GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** none
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932397718
- **Authorized official:** KEFAH DWABE M.D. (C.E.O.)
- **Authorized official phone:** (619) 286-9000

## Contact information

- **Practice address:** 4863 EL CAJON BLVD, \#A, SAN DIEGO, CA 92115-4636
- **Practice address phone:** (619) 286-9000
- **Practice address fax:** (619) 286-9004
- **Mailing address:** 4863 EL CAJON BLVD, \#A, SAN DIEGO, CA 92115-4636
- **Mailing address phone:** (619) 286-9000
- **Mailing address fax:** (619) 286-9004

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/05/2007
- **Last updated:** 02/19/2009
