Organization
MYSTICAL ROSE OBSTETRICS AND GYNECOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHILO STIGEN (CHIEF FINANCIAL OFFICER)
(619) 318-4798
Entity
Organization
Contact information
Practice address
577 E ELDER ST STE K, FALLBROOK, CA 92028-3079
(760) 983-4024
(760) 723-9010
Mailing address
577 E ELDER ST STE K, FALLBROOK, CA 92028-3079
(760) 983-4024
(760) 723-9010
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
07/21/2009
Last updated
12/21/2021
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