Organization
DESOUZA MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIENIO DE SOUZA NP (OWNER PROVIDER)
(562) 842-4390
Entity
Organization
Contact information
Practice address
26321 SANTIAGO CANYON ROAD, CORONA, CA 92883
(562) 842-4390
(951) 977-8846
Mailing address
26321 SANTIAGO CANYON RD, CORONA, CA 92883-5229
(562) 842-4390
(951) 977-8846
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/15/2024
Last updated
02/19/2025
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