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Primary Care Physicians Of South Bay Medical Group Inc

Primary Care Physicians Of South Bay Medical Group Inc is a health care provider in National City, CA. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 2340 E 8th St, Suite A, National City, CA 91950-2869, US
Practice Location Phone619-267-9047
Practice Location Fax619-267-7955
Legal Business NamePRIMARY CARE PHYSICIANS OF SOUTH BAY MEDICAL GROUP INC
NPI ?1003124363
Entity TypeOrganization
Enumeration Date ? Sep 21, 2010
Last Update Date ? Jun 29, 2011
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Primary Care Physicians Of South Bay Medical Group Inc

SpecialtySpecializationLicenseLicense State
Family Medicine A42911California

legacy-id-icon Legacy Provider IDs of Primary Care Physicians Of South Bay Medical Group Inc

Provider IdIssuer StateIssuer TypeIssuer
A42911CaliforniaOtherTHE MEDICAL BOARD OF CALIFORNIA

official-icon Authorized Official of Primary Care Physicians Of South Bay Medical Group Inc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Primary Care Physicians Of South Bay Medical Group Inc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Carlos A Castro (MD)
Authorized Official Title/PositionPRESIDENT
Authorized Official Phone Number619-267-9047