| Healthcare Providers Of California Medical Group, Inc | |
|
342 W San Ysidro Blvd #f San Ysidro CA 92173-2495 | |
| (619) 662-3880 | |
| (619) 662-2942 |
| Full Name | Healthcare Providers Of California Medical Group, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 342 W San Ysidro Blvd, San Ysidro, California |
| Authorized Official Name and Position | Edward John Giaquinto (PRESIDENT) |
| Authorized Official Contact | 8184212799 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthcare Providers Of California Medical Group, Inc 24425 Woolsey Canyon Rd #11 Canoga Park CA 91304-1131 Ph: (818) 713-1115 | Healthcare Providers Of California Medical Group, Inc 342 W San Ysidro Blvd #f San Ysidro CA 92173-2495 Ph: (619) 662-3880 |
| NPI Number | 1003846486 |
|---|---|
| Provider Enumeration Date | 07/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003846486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A51621 (California) | Primary |
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