Organization
CORDOVA MEDICAL & DIAGNOSTIC GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WARNER GLASSFORD (CFO)
(310) 775-7795
Entity
Organization
Contact information
Practice address
26732 CROWN VALLEY PKWY, STE 421, MISSION VIEJO, CA 92691-6306
(949) 347-8721
(949) 347-8709
Mailing address
26732 CROWN VALLEY PKWY, STE 421, MISSION VIEJO, CA 92691-6306
(949) 347-8721
(949) 347-8709
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A51101
CA
Other
Enumeration date
09/15/2011
Last updated
10/07/2011
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