Registry details
Type
Organization
Primary specialty
Family Medicine
Enumerated
Jun 21, 2017
License(s)
A64392 (CA), CB267742 (CA), A64392 (CA), E4237 (CA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 13071 BROOKHURST ST STE 150 | Garden Grove, CA 92843-1024 | 657-251-0974 |
| MAILING | 13071 BROOKHURST ST STE 150 | Garden Grove, CA 92843-1024 | 657-251-0974 |
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