Organization
ST. PETER MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BANG PHAM M.D. (PRESIDENT)
(714) 947-8600
Entity
Organization
Contact information
Practice address
10855 BUSINESS CENTER DR, SUITE C, CYPRESS, CA 90630-5252
(714) 947-8600
Mailing address
10855 BUSINESS CENTER DR, SUITE C, CYPRESS, CA 90630-5252
(714) 947-8600
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
05/27/2008
Last updated
09/12/2013
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