Organization
CLINICA MEDICA DE LA MORA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FERNANDO BECERRA (OFFICE MANAGER)
(619) 264-3107
Entity
Organization
Contact information
Practice address
995 GATEWAY CENTER WAY STE 202, SAN DIEGO, CA 92102-4545
(619) 264-3107
(619) 264-6927
Mailing address
995 GATEWAY CENTER WAY STE 202, SAN DIEGO, CA 92102-4545
(619) 264-3107
(619) 264-6927
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A507691
CA
Other
Enumeration date
12/12/2006
Last updated
08/22/2020
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