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Organization
DORSAL MEDICAL GROUP OF CALIFORNIA, P.C.
Active
Organization
DORSAL MEDICAL GROUP OF CALIFORNIA, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW JIN (MANAGER)
(833) 988-0589
Entity
Organization
Contact information
Practice address
600 3RD AVE FL 2, NEW YORK, NY 10016-1919
(833) 988-0589
Mailing address
315 MONTGOMERY ST FL 10, SAN FRANCISCO, CA 94104-1823
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
NULL
207L00000X
Anesthesiology Physician
—
—
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
Other
Enumeration date
04/17/2020
Last updated
08/03/2020
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