Friendly Ob Gyn Medical Group Inc

NPI 1821081647 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1821081647
Enumeration Date 08/26/2005
Last Updated 01/13/2014
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name SUDHAKAR SUDHAKAR
Position OWNER
Phone (951) 485-9133
Fax
Practice Location
12810 HEACOCK ST STE B105
MORENO VALLEY CA, 92553-3171, US
Phone (951) 485-9133
Fax
Business Location
12810 HEACOCK ST STE B105
MORENO VALLEY CA, 92553-3171, US
Phone (951) 485-9133
Fax
Toxanomy
Taxonomy Code 207V00000X
License State
License Number G71778
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According to our database, Friendly Ob Gyn Medical Group Inc NPI is 1821081647, taxonomy code is 207V00000X and license number is G71778, license state is located at . Friendly Ob Gyn Medical Group Inc physically located at 12810 Heacock St Ste B105, Moreno Valley CA, 92553-3171. NPI Number 1033115704 has the healthcare provider type.

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1821081647 NPI number is provided on an as is basis without warranty of any kind. 1821081647 is maintained by the National Plan & Provider Enumeration System. The contents of Friendly Ob Gyn Medical Group Inc are for informational purposes only.