South Bay Family Medical Group, Inc in Chula Vista - Family Medicine
South Bay Family Medical Group, Inc - NPI 1508920984
South Bay Family Medical Group, Inc is a Family Medicine in Chula Vista, California. South Bay Family Medical Group, Inc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for South Bay Family Medical Group, Inc is 1508920984. The last update date is 2011-03-02.
South Bay Family Medical Group, Inc's current location address is 584 E St, Chula Vista, California. You can contact this provider via phone number 6194201378 and fax number 6194201331. The mailing address for South Bay Family Medical Group, Inc is 584 E St, Chula Vista, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Bay Family Medical Group, Inc |
|---|---|
| Address | 584 E St, Chula Vista, California |
| Phone Number | 6194201378 |
| Fax Number | 6194201331 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Valladolid T Efrain |
| Credentials | M.D. |
| Telephone Number | 6194201378 |
NPI Number Detail
| NPI Number | 1508920984 |
|---|---|
| Provider Enumeration Date | 2006-12-20 |
| Last Updated Date | 2011-03-02 |
Provider Mailing Address Detail
| Address | 584 E St |
|---|---|
| City | Chula Vista |
| State | California (CA) |
| Post Code | 919102348 |
| Phone Number | 6194201378 |
| Fax Number | 6194201331 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | A61474 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A614740 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to South Bay Family Medical Group, Inc by the Centers for Medicare & Medicaid Services?
The South Bay Family Medical Group, Inc has been issued the NPI (National Provider Identifier) 1508920984 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of South Bay Family Medical Group, Inc?
The South Bay Family Medical Group, Inc is situated at 584 E St, in the city of Chula Vista, state of CA, with the zip code 919102348.
What is South Bay Family Medical Group, Inc's area of expertise and its corresponding taxonomy classification?
The South Bay Family Medical Group, Inc's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the South Bay Family Medical Group, Inc receive the assignment of its 1508920984 from the Centers for Medicare & Medicaid Services?
The South Bay Family Medical Group, Inc was issued its 1508920984 by the Centers for Medicare & Medicaid Services on 2006-12-20.
When was the information related to South Bay Family Medical Group, Inc most recently updated or refreshed?
The details pertaining to the South Bay Family Medical Group, Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-03-02.
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