Organization
MID COUNTY SURGICAL MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN CAMARA ANANE-SEFAH M.D. (PRESIDENT)
(831) 476-5403
Entity
Organization
Contact information
Practice address
603 CAPITOLA AVE, CAPITOLA, CA 95010-2751
(831) 476-5403
(831) 476-4107
Mailing address
603 CAPITOLA AVE, CAPITOLA, CA 95010-2751
(831) 476-5403
(831) 476-4107
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G23854
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G23854
MD JOHN C. ANANE-SEFAH
CA
05
—
GR0030290
—
CA
Enumeration date
01/08/2007
Last updated
03/07/2023
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