NPI 1396780870

United Physicians Multispecialty Group INC.

Organisation Exclusive Provider Organization San Diego, CA

Practice location

Address: 342 W San Ysidro Blvd Suite K, San Diego, CA 92173-2495
Phone: (619) 428-7432
Fax: (619) 428-1402
Mailing address: 1930 Wilshire Blvd Suite 410, Los Angeles, CA 90057-3605

Authorised official

Name: Randall Hrabko
Title: President
Phone: (213) 413-4203

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence FNP 34335 (CA)

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Registry record

NPI: 1396780870
Entity type: Organization
NPI issued: 18 Jun 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.