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Organization
SAN CLEMENTE DIAGNOSTIC MEDICAL CLINIC
Active
Organization
SAN CLEMENTE DIAGNOSTIC MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARTURO FONTANES (PRESIDENT)
(949) 493-0811
Entity
Organization
Contact information
Practice address
665 CAMINO DE LOS MARES STE 305, SAN CLEMENTE, CA 92673-2841
(949) 661-1215
Mailing address
665 CAMINO DE LOS MARES STE 305, SAN CLEMENTE, CA 92673-2841
(949) 661-1215
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C30059
CA
Other
Enumeration date
05/09/2007
Last updated
08/22/2020
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