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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MESA ADVANTAGE MEDICAL GROUP

Active Organization

MESA ADVANTAGE MEDICAL GROUP is a Exclusive Provider Organization organization located in SAN MARINO, California. NPI 1578017778 is currently active in the NPPES registry. Verify at CMS.

Exclusive Provider Organization · SAN MARINO, CA

Registration Details

NPI Number
1578017778
Provider Type
Organization
NPI Issued
Aug 5, 2016 (9.8434906837822 yrs)
Last Updated
Jul 21, 2022
License
A (CA)

Practice Information

Address
2295 HUNTINGTON DR # D
SAN MARINO, CA, 911082640
Browse CA providers · Browse ZIP 91108
Phone
6266562370
Fax
6262489060
Primary Specialty
Exclusive Provider Organization
302F00000X

Other Exclusive Provider Organization Organizations in SAN MARINO, CA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.