PEDIATRIC PRIMARY CARE ASSOCIATED MEDICAL GROUP
Managed Care Organizations at Washington St, San Diego, CA

License number
California G393080
Category
Managed Care Organizations
Type
Health Maintenance Organization
Owner
Name: DR. STEPHEN H CARSON M.D.
Title: PRESIDENT
Phone: (619) 757-1468
Address
Address
550 Washington St STE 300, San Diego, CA 92103
National Provider ID: 1356631972
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PEDIATRIC PRIMARY CARE ASSOCIATED MEDICAL GROUP, INC

550 Washington St STE 300, San Diego, CA 92103

Industry:
Medical Doctor's Office
Doing business as:
Pediatric Primary Care Associates
Registration:
Oct 16, 1989
State ID:
C1563899
Business type:
Articles of Incorporation
President:
Stephen H. Carson (President)
Agent:
Stephen H Carson,San Diego, CA 92103 (Physical)

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