Organization
CECILIA LOLENG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CECILIA LOLENG (OWNER)
(831) 394-0615
Entity
Organization
Contact information
Practice address
1780 FREMONT BLVD, H, SEASIDE, CA 93955-3629
(831) 394-0615
(831) 394-4580
Mailing address
1780 FREMONT BLVD, H, SEASIDE, CA 93955-3629
(831) 394-0615
(831) 394-4580
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A35946
CA
Other
Enumeration date
12/18/2007
Last updated
12/18/2007
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