MESA ADVANTAGE MEDICAL GROUP

Exclusive Provider Organization · SAN MARINO, CA

Organization Active NPI 1578017778

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Exclusive Provider Organization302F00000X
Exclusive Provider Organization302F00000XACA

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.