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College Medical Group, Inc.
Clinic/Center in Santa Ana, California
NPI 1760532543

College Medical Group, Inc. is a Clinic/Center based in Santa Ana, CA. College Medical Group, Inc. practices in Santa Ana, CA. The NPI Number for College Medical Group, Inc. is 1760532543 and holds a License No. A31437 (California).

The current practice location address for College Medical Group, Inc. is 611 S Main St, Santa Ana, CA and can be reached out via phone at 714-564-9323 and via fax at 714-973-8885.

Location: 611 S Main St, Santa Ana, CA, 92701-5715
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1760532543
Provider Name
College Medical Group, Inc.
Credential
Provider Entity Type
Organization
Address
611 S Main St, Santa Ana, CA, 92701-5715
Phone Number
714-564-9323
Fax Number
714-973-8885
Provider Enumeration Date
01/12/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A314370-151 01 CA CALOPTIMA PROVIDER NUMBER
GR0011541 01 CA CHDP PROVIDER NUMBER
GR0011541 01 CA MEDI-CAL PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
611 S Main St
City
Santa Ana
State
California
Zip
92701-5715
Phone Number
714-564-9323
Fax Number
714-973-8885
person
Provider Business Mailing Address Details
Address
611 S Main St
City
Santa Ana
State
California
Zip
92701-5715
Phone Number
714-564-9323
Fax Number
714-973-8885
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
A31437 (California)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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