Organization
RALPH E CONNER D.O. INC
Active
Other names
Santa Fe Prings Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MADONNA MANGUNNE PA-C (PHYSICIAN ASSISTANT)
(562) 864-1000
Entity
Organization
Contact information
Practice address
11460 TELEGRAPH RD, SANTA FE SPRINGS, CA 90670-3142
(562) 864-1000
(562) 864-2125
Mailing address
11460 TELEGRAPH RD, SANTA FE SPRINGS, CA 90670-3142
(562) 864-1000
(562) 864-2125
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
20A6547
CA
Other
Enumeration date
01/17/2007
Last updated
12/06/2007
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