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Organization
JOSE MAYORGA, M.D., INC.
Active
Organization
JOSE MAYORGA, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE MAYORGA MD (PRESIDENT)
(949) 631-9009
Entity
Organization
Contact information
Practice address
2216 NEWPORT BLVD, COSTA MESA, CA 92627-1711
(949) 631-9009
(949) 631-1984
Mailing address
2216 NEWPORT BLVD, COSTA MESA, CA 92627-1711
(949) 631-9009
(949) 631-1984
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A97237
CA
Other
Enumeration date
07/06/2010
Last updated
07/06/2010
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