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Organization
OSO FAMILY MEDICAL GROUP
Active
Organization
OSO FAMILY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD RICHMOND MD (OWNER)
(949) 582-5430
Entity
Organization
Contact information
Practice address
26922 OSO PKWY, SUITE 380, MISSION VIEJO, CA 92691-5800
(949) 582-5430
(949) 348-9513
Mailing address
26922 OSO PKWY, SUITE 380, MISSION VIEJO, CA 92691-5800
(949) 582-5430
(949) 348-9513
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D0580520
CLIA WAIVER
CA
Enumeration date
03/18/2008
Last updated
08/24/2010
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