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Organization

CROSSOVER HEALTH MEDICAL GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD PATRAGNONI M.D (MEDICAL DIRECTOR)
(949) 891-0328
Entity
Organization

Contact information

Practice address
3050 BOWERS AVE, SANTA CLARA, CA 95054-3201
(949) 891-0328
Mailing address
101 W AVENIDA VISTA HERMOSA, SUITE 120, SAN CLEMENTE, CA 92672-7706
(949) 891-0328

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A62815
CA

Other

Enumeration date
11/29/2012
Last updated
05/10/2017
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