Organization
SONORA MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT SIMPKINS JR. (PHYSICIAN)
(909) 581-7274
Entity
Organization
Contact information
Practice address
10600 MAGNOLIA AVE, SUITE 1, RIVERSIDE, CA 92505-1819
(909) 581-7274
(909) 581-7275
Mailing address
3607 OLD CONEJO RD, THOUSAND OAKS, CA 91320-2123
(805) 375-0800
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
AS1156567
CA
Other
Enumeration date
03/27/2008
Last updated
03/27/2008
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