Organization
BOSTON MEDICAL GROUP-CALIFORNIA L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIEANNE C. LABARBERA M.D. (MEDICAL DIRECTOR)
(718) 981-4070
Entity
Organization
Contact information
Practice address
3070 BRISTOL STREET, SUITE 510, COSTA MESA, CA 92626
(714) 549-5028
(714) 436-1748
Mailing address
3070 BRISTOL STREET, SUITE 510, COSTA MESA, CA 92626
(714) 549-5028
(714) 436-1748
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
03/25/2014
Last updated
03/25/2014
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