SAN DIEGO PRIMARY CARE MEDICAL GROUP
Osteopathic Medicine at Moraga Ave, San Diego, CA

License number
California G31968
Category
Osteopathic Medicine
Type
Adult Medicine
Owner
Name: GARY KENNETH BOONE M.D.
Title: PRESIDENT
Phone: (858) 292-8885
Address
Address
3737 Moraga Ave STE B408, San Diego, CA 92117
National Provider ID: 1932257193
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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San Diego Primary Care Medical Group, Inc

6465 Balboa Ave, San Diego, CA 92111

Registration:
Sep 8, 1986
State ID:
01385262
Business type:
Articles of Incorporation
President:
Gary Boone (President)

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