| South County Physicians Medical Group Inc. | |
|
11180 Warner Ave 165 Fountain Valley CA 92708-7501 | |
| (714) 751-0995 | |
| Not Available |
| Full Name | South County Physicians Medical Group Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 11180 Warner Ave, Fountain Valley, California |
| Authorized Official Name and Position | Pam Calderon (BILLING MANAGER) |
| Authorized Official Contact | 3103438884 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South County Physicians Medical Group Inc. Po Box 8907 Fountain Valley CA 92728-8907 Ph: (714) 546-7118 | South County Physicians Medical Group Inc. 11180 Warner Ave 165 Fountain Valley CA 92708-7501 Ph: (714) 751-0995 |
| NPI Number | 1790990257 |
|---|---|
| Provider Enumeration Date | 05/10/2007 |
| Last Update Date | 01/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790990257 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A63326 (California) | Primary |
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