| San Martin Deporres Medical Group | |
|
1701 E Mcfadden Ave Unit D Santa Ana CA 92705-4647 | |
| (714) 953-6430 | |
| Not Available |
| Full Name | San Martin Deporres Medical Group |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 1701 E Mcfadden Ave, Santa Ana, California |
| Authorized Official Name and Position | Jacob N Flores (OWNER) |
| Authorized Official Contact | 7149536430 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Martin Deporres Medical Group 1701 E Mcfadden Ave Unit D Santa Ana CA 92705-4647 Ph: (714) 953-6430 | San Martin Deporres Medical Group 1701 E Mcfadden Ave Unit D Santa Ana CA 92705-4647 Ph: (714) 953-6430 |
| NPI Number | 1861513525 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 03/09/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861513525 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | W11619 (California) | Secondary |
| 207QG0300X | Family Medicine - Geriatric Medicine | A60865 (California) | Primary |
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