institution
Shadowridge Medical Group
Specialist in Vista, California
NPI 1639398613

Shadowridge Medical Group is a Specialist based in Vista, CA. Shadowridge Medical Group practices in Vista, CA. The NPI Number for Shadowridge Medical Group is 1639398613 and holds a License No. G045531 (California).

The current practice location address for Shadowridge Medical Group is 1680 S Melrose Dr Ste 105, Vista, CA and can be reached out via phone at 760-727-6920 and via fax at 760-727-3368.

Location: 1680 S Melrose Dr Ste 105, Vista, CA, 92081-5472
institution
Provider Profile Details
NPI Number
1639398613
Provider Name
Shadowridge Medical Group
Credential
Provider Entity Type
Organization
Address
1680 S Melrose Dr Ste 105, Vista, CA, 92081-5472
Phone Number
760-727-6920
Fax Number
760-727-3368
Provider Enumeration Date
04/25/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1680 S Melrose Dr Ste 105
City
State
Zip
92081-5472
Phone Number
760-727-6920
Fax Number
760-727-3368
person
Provider Business Mailing Address Details
Address
1680 S Melrose Dr Ste 105
City
State
Zip
92081-5472
Phone Number
760-727-6920
Fax Number
760-727-3368
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
G045531 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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