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NPI 1407210958 Active Internal Medicine

Quick Facts

NPI Number

1407210958

Type

Organization (NPI-2)

Status

Active

Enumeration Date

2016-04-11

Last Updated (NPPES)

2016-04-11

Primary Specialty / Taxonomy

Taxonomy	Internal Medicine
Taxonomy Code	`207R00000X`

Practice Address

41880 KALMIA ST
SUITE 100
MURRIETA, CA 925628831

Phone: 951-696-7587

Fax: 951-461-6973

Mailing Address

617 E ALVARADO ST
FALLBROOK, CA 920282315

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