| Pacific Crest Medical Group, Inc. | |
|
32341 Golden Lantern Suite M Laguna Niguel CA 92677-5343 | |
| (949) 597-0124 | |
| (949) 597-0124 |
| Full Name | Pacific Crest Medical Group, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 32341 Golden Lantern, Laguna Niguel, California |
| Authorized Official Name and Position | Karla J Anderson (MEDICAL BILLER) |
| Authorized Official Contact | 9495970124 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Crest Medical Group, Inc. 32341 Golden Lantern Suite M Laguna Niguel CA 92677-5343 Ph: (949) 597-0124 | Pacific Crest Medical Group, Inc. 32341 Golden Lantern Suite M Laguna Niguel CA 92677-5343 Ph: (949) 597-0124 |
| NPI Number | 1225011976 |
|---|---|
| Provider Enumeration Date | 11/28/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225011976 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | C037249 (California) | Primary |
| 207Q00000X | Family Medicine | C040002 (California) | Secondary |
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