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General NPI Number Information
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NPI Number | 1063544187
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Entity Type | Organization
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Legal Business Name | CALIFORNIA GENERAL SURGEONS MEDICAL GROUP INC
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 10/08/2009
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Provider Practice Location Address
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Address Line | 1414 S GRAND AVE STE 375
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City | LOS ANGELES
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State | CA
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Zip | 90015-3081
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Country | US
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Telephone | 213-747-5211
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Fax |
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Provider Business Mailing Address
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Address Line | 1414 S GRAND AVE STE 375
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City | LOS ANGELES
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State | CA
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Zip | 90015-3081
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Country | US
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Telephone | 213-747-5211
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALAN WEISS
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Credential | MD
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Telephone | 213-747-5211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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