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Organization · Family Medicine Physician · Fountain Valley, CA

NPI
1912553983
Type
Organization (Type 2)
Primary specialty
Family Medicine Physician (Family Medicine)
Specialty group
Allopathic & Osteopathic Physicians
Taxonomy code
207Q00000X
Enumerated
2019-08-14
Last updated
2019-08-19
Practice location
17220 Newhope St Ste 125-126
Fountain Valley, CA 92708-4272
(714) 617-4310

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