Organization
ADVANCED MEDICAL HOME PHYSICIANS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL D HAGA M.D. (PRESIDENT)
(949) 226-8416
Entity
Organization
Contact information
Practice address
1001 AVENIDA PICO, # C 517, SAN CLEMENTE, CA 92673-6957
(949) 226-8416
(949) 226-8019
Mailing address
1001 AVENIDA PICO, # C 517, SAN CLEMENTE, CA 92673-6957
(949) 226-8416
(877) 223-5602
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A81573
CA
207R00000X
Internal Medicine Physician
A64412
CA
Other
Enumeration date
01/08/2009
Last updated
06/29/2016
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