Organization
ABG MED GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ENO E UDI (CEO)
(619) 255-1564
Entity
Organization
Contact information
Practice address
4660 EL CAJON BLVD, SUITE 106, SAN DIEGO, CA 92115-4450
(619) 255-1564
Mailing address
4660 EL CAJON BLVD, SUITE 106, SAN DIEGO, CA 92115-4450
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
C3484675
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
332B00000X
—
CA
Enumeration date
08/30/2012
Last updated
08/30/2012
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