Organization
SANTA CRUZ PULMONARY MEDICAL GROUP
Active
Organization
SANTA CRUZ PULMONARY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REGINA AUDREY ANYANG (BUSINESS MANAGER)
(831) 425-1906
Entity
Organization
Contact information
Practice address
700 FREDERICK ST, SUITE 203, SANTA CRUZ, CA 95062-2239
(831) 425-1906
(831) 425-1922
Mailing address
700 FREDERICK ST, SUITE 203, SANTA CRUZ, CA 95062-2239
(831) 425-1906
(831) 425-1922
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0056730
—
CA
Enumeration date
07/17/2006
Last updated
02/17/2010
Update your record
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