05D0570328 CLIA NUMBER - SAN DIEGO PRIMARY CARE MEDICAL GROUP, INC

Laboratory Demographics

CLIA Number: 05D0570328

Facility Name: SAN DIEGO PRIMARY CARE MEDICAL GROUP, INC

Facility Address:
3737 MORAGA AVE # B -408
SAN DIEGO, CA
ZIP 92117
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Facility Phone Number: (619) 292-8885

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1023130002

Taxonomy: 207V00000X - Obstetrics & Gynecology
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.

CLIA Record

Field Name	Field Value
CLIA Number	05D0570328
LAB Type	PHYSICIAN OFFICE
Facility Name	SAN DIEGO PRIMARY CARE MEDICAL GROUP, INC
Street	3737 MORAGA AVE # B -408
City	SAN DIEGO
State	CA
ZIP	92117
Phone	(619) 292-8885

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This page was last updated on: 5/11/2023