Boston Medical Group California, L.l.c.

NPI 1073930384 - Urology - 208800000X

NPI Details
NPI 1073930384
Enumeration Date 03/25/2014
Last Updated 03/25/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name MARIANNE C. MARIANNE
Position MEDICAL DIRECTOR
Phone (619) 297-1797
Fax (619) 296-1700
Practice Location
5030 CAMINO DE LA SIESTA
SUITE 210
SAN DIEGO CA, 92108, US
Phone (619) 297-1797
Fax (619) 296-1700
Business Location
5030 CAMINO DE LA SIESTA
SUITE 210
SAN DIEGO CA, 92108, US
Phone (619) 297-1797
Fax (619) 296-1700
Toxanomy
Taxonomy Code 208800000X
License State
License Number
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According to our database, Boston Medical Group California, L.l.c. NPI is 1073930384, taxonomy code is 208800000X Boston Medical Group California, L.l.c. physically located at 5030 Camino De La Siesta, San Diego CA, 92108. NPI Number 1033115704 has the healthcare provider type.

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1073930384 NPI number is provided on an as is basis without warranty of any kind. 1073930384 is maintained by the National Plan & Provider Enumeration System. The contents of Boston Medical Group California, L.l.c. are for informational purposes only.