Organization
CROSSOVER HEALTH MEDICAL GROUP
Active
Other names
Crossover @ Grapevine
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE SAKIOKA (HR OPERATIONS SPECIALIST)
(949) 891-0228
Entity
Organization
Contact information
Practice address
1940 ENCHANTED WAY STE 101, GRAPEVINE, TX 76051-0965
(949) 891-0328
Mailing address
101 W AVENIDA VISTA HERMOSA STE 120, SAN CLEMENTE, CA 92672-7707
(949) 891-0328
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/06/2020
Last updated
07/06/2020
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