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Organization
RANCHO SANTA FE MEDICAL GROUP, INC.
Active
Organization
RANCHO SANTA FE MEDICAL GROUP, INC.
Active
Other names
MD Portable
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS JOSEPH NAVAZO M.D. (MEDICAL DIRECTOR)
(760) 591-9975
Entity
Organization
Contact information
Practice address
3230 WARING CT STE Q, OCEANSIDE, CA 92056-4509
(760) 591-9975
Mailing address
3230 WARING CT STE Q, OCEANSIDE, CA 92056-4509
(760) 591-9975
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
R0510001
—
CA
Enumeration date
02/05/2007
Last updated
02/23/2024
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