Organization
SOUTH BAY INTERNAL MEDICAL GRP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA CRAWFORD (OFFICE MANAGER)
(619) 425-9802
Entity
Organization
Contact information
Practice address
480 4TH AVE STE 206, CHULA VISTA, CA 91910-4412
(619) 425-9802
(619) 425-1488
Mailing address
480 4TH AVE STE 206, CHULA VISTA, CA 91910-4412
(619) 425-9802
(619) 425-1488
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
A20713
CA
Other
Enumeration date
10/18/2007
Last updated
11/05/2007
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