Organization
CROSSOVER HEALTH MEDICAL GROUP
Active
Parent organization
CROSSOVER HEALTH MEDICAL GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
CROSSOVER HEALTH MEDICAL GROUP
Authorized official
ANGIE SAKIOKA (ADMINISTRATION)
(949) 891-0328
Entity
Organization
Contact information
Practice address
8000 S FEDERAL WAY # MS 1-706, BOISE, ID 83716-9632
(949) 891-0328
Mailing address
101 W. AVENIDA VISTA HERMOSA, SUITE 120, SAN CLEMENTE, CA 92672
(949) 891-0328
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/09/2018
Last updated
01/09/2018
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