Marina Family Medical Group, INC.
Family Medicine in Huntington Beach, CA. Organization (NPI-2).
NPI number1790795623
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1790795623
- Entity type
- Organization (NPI-2)
- Legal business name
- Marina Family Medical Group, INC.
- Organization subpart
- No
- Enumeration date
- Aug 9, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
5888 Edinger AveHuntington Beach, CA 92649-1705
Phone 714-377-7469
Mailing address
Po Box 90426Long Beach, CA 90809-0426
Phone 562-421-0122 · Fax 562-421-2335
Authorized official
Brandon K. Grove
Owner
7143777469
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