Organization
ANGEL MEDICAL GROUP, INC
Active
Other names
Superior Choice Medical Group, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRI DIANE SIEMEN (CREDENTIALING/OPERATIONS CONSULTANT)
(951) 219-3799
Entity
Organization
Contact information
Practice address
2372 SE BRISTOL ST, STE B, NEWPORT BEACH, CA 92660-0755
(888) 975-3246
(909) 235-4145
Mailing address
2372 SE BRISTOL ST, STE B, NEWPORT BEACH, CA 92660-0755
(888) 975-3246
(909) 235-4145
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/17/2008
Last updated
03/25/2020
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