OC LATINO MEDICAL GROUP INC NPI 1609817626

NPI Information

OC LATINO MEDICAL GROUP INC is a family medicine in Costa Mesa, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. OC LATINO MEDICAL GROUP INC NPI is 1609817626. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

767 W 19TH STREET
101
COSTA MESA, CA
ZIP 92627
Phone: (949) 574-2121
Fax: (949) 574-9358

The provider's authorized official is Gaston F Cilliani .
The authorized official title is Md and has the following contact phone number (949) 574-2121.

The enumeration date for this NPI number is 6/9/2006 and was last updated on 6/24/2008.

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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