San Martin Deporres Medical Group
San Martin Deporres Medical Group provides Family Medicine Physician services in Santa Ana, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
1701 E McFadden Ave Unit DSanta Ana, CA 92705-4647 Not confirmed with CMS for 15 years — call before visiting
Phone: (714) 953-6430
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Geriatric Medicine (Family Medicine) Physician (primary) | Taxonomy 207QG0300X · Licence A60865 (CA) |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X · Licence W11619 (CA) |
Record details
| NPI number | 1861513525 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jacob Flores — Owner · (714) 953-6430 |
| NPI enumerated | April 2, 2007 |
| Last updated in NPPES | March 9, 2011 |
| Mailing address | 1701 E McFadden Ave, Unit D, Santa Ana, CA 92705-4647 |
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