Organization
HNI MEDICAL SERVICES OF CALIFORNIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HUGO G. BLAKE M.D. (AUTHORIZED OFFICIAL)
(125) 730-3056
Entity
Organization
Contact information
Practice address
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270-3221
(956) 440-6300
Mailing address
512 VICTORIA LN, SUITE 12, HARLINGEN, TX 78550-3226
(956) 440-6300
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
137241
CA
Other
Enumeration date
08/13/2015
Last updated
07/16/2019
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