Organization
SONORA MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT SIMPKINS II (PHYSICIAN)
(909) 581-7274
Entity
Organization
Contact information
Practice address
10841 WHITE OAK AVE, SUITE 201, RANCHO CUCAMONGA, CA 91730-3811
(909) 581-7274
Mailing address
3607 OLD CONEJO RD, THOUSAND OAKS, CA 91320-2123
(805) 375-0800
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
FS0117386
CA
Other
Enumeration date
03/25/2008
Last updated
03/25/2008
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