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1031 Avenida Pico Sutie 103 San Clemente CA 92673-6352 | |
(202) 904-8490 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 1031 Avenida Pico, San Clemente, California |
Authorized Official Name and Position | Colin Xephary Jairam (PRESIDENT) |
Authorized Official Contact | 9494291919 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1031 Avenida Pico Sutie 103 San Clemente CA 92673-6352 Ph: (949) 429-1919 | 1031 Avenida Pico Sutie 103 San Clemente CA 92673-6352 Ph: (202) 904-8490 |
NPI Number | 1093126609 |
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Provider Enumeration Date | 05/16/2014 |
Last Update Date | 01/10/2017 |
Identifier | Type | State | Issuer |
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1093126609 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | A101534 (California) | Primary |
Care Gastroenterology Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 655 Camino De Los Mares, Sute 123, San Clemente, CA 92673 Phone: 949-443-1546 Fax: 949-443-1077 | |
San Clemente Internal Medical Group Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 665 Camino De Los Mares Ste 309, San Clemente, CA 92673 Phone: 949-487-9034 Fax: 949-493-3721 | |
Joomo Yang, Md., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2403 Camino Corso Rio, San Clemente, CA 92673 Phone: 949-226-8416 Fax: 949-226-8019 |