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| Type | Company | [sources] | |||
|---|---|---|---|---|---|
| Name | Amigo Medical Group | [sources] | |||
| Incorporation date | not available | [sources] | |||
| Jurisdiction | not available | [sources] | |||
| Country | United States | [sources] | |||
| NPI | 1528023306 | [sources] | |||
| Registration number | GR0046550 · LAB62298 · ZZZ76456Z | [sources] | |||
| Sector | Entity/Corporation | [sources] | |||
| Address | 386 East H Street, #210, Chula Vista, CA 91910 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.
United States · DHCS
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