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Grossmont Ob/gyn Medical Group Inc
Specialist in La Mesa, California
NPI 1922114131

Grossmont Ob/gyn Medical Group Inc is a Specialist based in La Mesa, CA. Grossmont Ob/gyn Medical Group Inc practices in La Mesa, CA. The NPI Number for Grossmont Ob/gyn Medical Group Inc is 1922114131 and holds a License No. (California).

The current practice location address for Grossmont Ob/gyn Medical Group Inc is 8851 Center Dr, La Mesa, CA and can be reached out via phone at 619-461-2660 and via fax at 619-461-5760.

Location: 8851 Center Dr, La Mesa, CA, 91942-3017
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1922114131
Provider Name
Grossmont Ob/gyn Medical Group Inc
Credential
Provider Entity Type
Organization
Address
8851 Center Dr, La Mesa, CA, 91942-3017
Phone Number
619-461-2660
Fax Number
619-461-5760
Provider Enumeration Date
08/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C086184 01 CA CHAMPUS GROUP I.D.
ZZZ47807Z 01 CA MEDI-CAL
institution
Provider Business Practice Location Address Details
Address
8851 Center Dr
City
La Mesa
State
California
Zip
91942-3017
Phone Number
619-461-2660
Fax Number
619-461-5760
person
Provider Business Mailing Address Details
Address
8851 Center Dr
City
La Mesa
State
California
Zip
91942-3017
Phone Number
619-461-2660
Fax Number
619-461-5760
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
(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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