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Organization

NORTH BRISTOL FAMILY AND INJURY MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARIO PEREZ PA (ADMINISTRATOR)
(714) 541-0175
Entity
Organization

Contact information

Practice address
1415 N BROADWAY, SANTA ANA, CA 92706-3904
(714) 541-0175
Mailing address
1415 N BROADWAY, SANTA ANA, CA 92706-3904
(714) 541-0175

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
AA1429251
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1558378463
CA
Enumeration date
06/18/2014
Last updated
06/18/2014
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