| El Cajon Medical Group Inc | |
|
751 W Legion Rd Ste 300 Brawley CA 92227-7755 | |
| (760) 351-4848 | |
| (760) 351-3839 |
| Full Name | El Cajon Medical Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 751 W Legion Rd Ste 300, Brawley, California |
| Authorized Official Name and Position | Mehboob Ghulam (OWNER) |
| Authorized Official Contact | 7603514848 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| El Cajon Medical Group Inc Po Box 7096 Stockton CA 95267-0096 Ph: (209) 956-7725 | El Cajon Medical Group Inc 751 W Legion Rd Ste 300 Brawley CA 92227-7755 Ph: (760) 351-4848 |
| NPI Number | 1265967491 |
|---|---|
| Provider Enumeration Date | 04/25/2017 |
| Last Update Date | 02/03/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265967491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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