Organization
CRESTPOINT MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY OGUGU NP (NURSE PRACTITIONER)
(909) 757-8668
Entity
Organization
Contact information
Practice address
1611 POMONA RD # 235, CORONA, CA 92878-4324
(909) 757-8668
Mailing address
1611 POMONA RD # 235, CORONA, CA 92878-4324
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/28/2024
Last updated
10/01/2024
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