| San Marcos Medical Group | |
|
121 N Euclid St La Habra CA 90631-4614 | |
| (562) 691-0811 | |
| (562) 690-7013 |
| Full Name | San Marcos Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 121 N Euclid St, La Habra, California |
| Authorized Official Name and Position | Daniel Uribe (PRESIDENT) |
| Authorized Official Contact | 5626910811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Marcos Medical Group 121 N Euclid St La Habra CA 90631-4614 Ph: (562) 691-0811 | San Marcos Medical Group 121 N Euclid St La Habra CA 90631-4614 Ph: (562) 691-0811 |
| NPI Number | 1235315391 |
|---|---|
| Provider Enumeration Date | 01/18/2008 |
| Last Update Date | 01/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235315391 | NPI | - | NPPES |
| 00A420951 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A42095 (California) | Primary |
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