Organization
SENTINEL CARE MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAXWELL JEN (CEO, MEDICAL DIRECTOR)
(909) 964-9472
Entity
Organization
Contact information
Practice address
505 N TUSTIN AVE STE 195, SANTA ANA, CA 92705-3775
(909) 964-9472
Mailing address
505 N TUSTIN AVE STE 195, SANTA ANA, CA 92705-3775
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/03/2020
Last updated
12/22/2021
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