Organization
CROSSOVER HEALTH MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE SAKIOKA (ADMIN)
(949) 891-0228
Entity
Organization
Contact information
Practice address
2655 NORTHWINDS PKWY, ALPHARETTA, GA 30009-2280
(888) 854-1397
Mailing address
101 W AVENIDA VISTA HERMOSA STE 120, SAN CLEMENTE, CA 92672-7707
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
193200000X
OTHER
—
Enumeration date
07/10/2023
Last updated
07/10/2023
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