Organization
XTRA CARE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT LAI (DIRECTOR)
(714) 618-1055
Entity
Organization
Contact information
Practice address
16171 BROOKHURST ST, FOUNTAIN VALLEY, CA 92708-1550
(714) 618-1055
(714) 531-1434
Mailing address
16171 BROOKHURST ST, FOUNTAIN VALLEY, CA 92708-1550
(714) 618-1055
(714) 531-1434
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
A86192
CA
Other
Enumeration date
07/30/2014
Last updated
07/30/2014
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