SAN MARCOS MEDICAL GROUP INC. NPI 1265721856

NPI Information

SAN MARCOS MEDICAL GROUP, INC. is an obstetrics gynecology in Rialto, CA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. SAN MARCOS MEDICAL GROUP, INC. NPI is 1265721856. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Metropolitan Family Medical Clinic.

The provider's business location address is:

425 E FOOTHILL BLVD
RIALTO, CA
ZIP 92376-153
Phone: (909) 546-1050
Fax: (909) 546-1061

The provider's authorized official is Sandra Gonzalez .
The authorized official title is Coordinator and has the following contact phone number (909) 376-4438.

The CLIA number assigned to this NPI record is 05D2018241 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/4/2011 and was last updated on 4/4/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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