Organization
ABSOLUTE CARE MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA CHAVEZ MENGHAMAL CEO (PRESIDENT)
(626) 373-7932
Entity
Organization
Contact information
Practice address
1499 HUNTINGTON DR STE 305, SOUTH PASADENA, CA 91030-5447
(626) 373-7932
Mailing address
1499 HUNTINGTON DR STE 305, SOUTH PASADENA, CA 91030-5447
(626) 373-7932
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
07/06/2018
Last updated
07/06/2018
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