Organization
ONE STOP MULIT SPECIALTY MEDICAL GROUP, INC,
Active
Parent organization
ONE STOP MULIT SPECIALTY MEDICAL GROUP, INC,
Organization subpart
Yes
Provider details
NPI number
Legal business name
ONE STOP MULIT SPECIALTY MEDICAL GROUP, INC,
Authorized official
EDUARDO ANGUIZOLA M.D. (MEDICAL DIRECTOR)
(909) 483-3530
Entity
Organization
Contact information
Practice address
81557 DOCTOR CARREON BLVD STE B5, INDIO, CA 92201-5562
(909) 483-3530
Mailing address
2980 N BEVERLY GLEN CIR STE 301, LOS ANGELES, CA 90077-1735
(310) 474-9809
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
05/18/2010
Last updated
03/01/2011
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