Organization
CROSSOVER HEALTH MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE SAKIOKA (CREDENTIALING SPECIALIST)
(949) 891-0228
Entity
Organization
Contact information
Practice address
700 ANDERSON HILL RD, PURCHASE, NY 10577-1401
(949) 891-0328
Mailing address
101 W AVENIDA VISTA HERMOSA STE 120, SAN CLEMENTE, CA 92672-7707
(498) 910-3289
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
193200000X
OTHER
—
Enumeration date
02/08/2023
Last updated
02/08/2023
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