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Organization

N JAUREGUI PROFESSIONAL MEDICAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATRINA LING (ADMINISTRATOR)
(310) 480-4556
Entity
Organization

Contact information

Practice address
10061 TALBERT AVE STE 200, FOUNTAIN VALLEY, CA 92708-5123
(877) 830-7328
Mailing address
10061 TALBERT AVE STE 200, FOUNTAIN VALLEY, CA 92708-5123
(877) 830-7328

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
261QP2300X
Primary Care Clinic/Center

Other

Enumeration date
06/10/2021
Last updated
06/10/2021
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