Organization
CROSSOVER HEALTH MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE SAKIOKA (QUALITY AND COMPLIANCE)
(949) 891-0328
Entity
Organization
Contact information
Practice address
3925 159TH AVE NE, REDMOND, WA 98052-6309
(949) 891-0328
Mailing address
101 W AVENIDA VISTA HERMOSA STE 120, SAN CLEMENTE, CA 92672-7707
(949) 891-0328
(949) 272-0159
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
CA
Other
Enumeration date
07/12/2017
Last updated
07/12/2017
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