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Organization
MEDIPRO MEDICAL GROUP INC
Active
Organization
MEDIPRO MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN S HO M.D. (MEDICAL DOCTOR)
(310) 914-9150
Entity
Organization
Contact information
Practice address
1829 E CALIFORNIA BLVD, SAN MARINO, CA 91108-1246
(310) 914-9150
(310) 914-9750
Mailing address
1829 E CALIFORNIA BLVD, SAN MARINO, CA 91108-1246
(310) 914-9150
(310) 914-9750
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
G77099
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G770991
—
CA
Enumeration date
08/17/2006
Last updated
11/18/2015
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