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Organization

EL CENTRO MEDICAL REGIONAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PEDRO ALONSO MARROQUIN COLIO JR. NP (NURSE PRACTITIONER)
(760) 604-2528
Entity
Organization

Contact information

Practice address
1415 ROSS AVE, EL CENTRO, CA 92243-4306
(760) 339-7111
Mailing address
947 SANTILLAN ST, BRAWLEY, CA 92227-3813
(760) 604-2528

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
95002686
CA

Other

Enumeration date
08/10/2015
Last updated
08/10/2015
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