Organization
CHEROKEE MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MONICA MEDINA (MEDICAL ASSISTANT)
(805) 403-1063
Entity
Organization
Contact information
Practice address
18945 FM 2252, GARDEN RIDGE, TX 78266-2562
(210) 651-0027
Mailing address
11589 TRAILBRUSH PT, SAN DIEGO, CA 92126-8001
(805) 403-1063
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
CA
Other
Enumeration date
10/05/2007
Last updated
10/05/2007
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