| Cochrane Medical Group, Inc | |
|
667 Palm Ave Imperial Beach CA 91932-1243 | |
| (619) 575-8887 | |
| (619) 575-1374 |
| Full Name | Cochrane Medical Group, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 667 Palm Ave, Imperial Beach, California |
| Authorized Official Name and Position | Joy Emmanuel-cochrane (PRESIDENT) |
| Authorized Official Contact | 6195758887 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cochrane Medical Group, Inc 667 Palm Ave Imperial Beach CA 91932-1243 Ph: (619) 575-8887 | Cochrane Medical Group, Inc 667 Palm Ave Imperial Beach CA 91932-1243 Ph: (619) 575-8887 |
| NPI Number | 1700297439 |
|---|---|
| Provider Enumeration Date | 05/15/2014 |
| Last Update Date | 05/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700297439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A6250 (California) | Primary |
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