National Provider Identifier Database

MONTEREY OBGYN MEDICAL GROUP INC
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

MONTEREY OBGYN MEDICAL GROUP INC
72780 COUNTRY CLUB DR STE A103
RANCHO MIRAGE, CA92270
Phone: 760-779-5511
Fax: 760-773-3320
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for MONTEREY OBGYN MEDICAL GROUP INC

NPI Number 1881861797
Legal business name
LBN
MONTEREY OBGYN MEDICAL GROUP INC
Authorized official ENRIQUE JACOME - (OWNER/PHYSICIAN)
Entity Organization
Organization subpart No
Enumeration date 05/09/2008
Last updated 05/09/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: A44682

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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