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Organization

DORSAL MEDICAL GROUP OF CALIFORNIA, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANDREW JIN (MANAGER)
(833) 988-0589
Entity
Organization

Contact information

Practice address
600 3RD AVE FL 2, NEW YORK, NY 10016-1919
(833) 988-0589
Mailing address
315 MONTGOMERY ST FL 10, SAN FRANCISCO, CA 94104-1823

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
207Q00000X
Family Medicine Physician
208100000X
Physical Medicine & Rehabilitation Physician
Primary
225100000X
Physical Therapist

Other

Enumeration date
04/17/2020
Last updated
08/03/2020
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