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General NPI Number Information
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NPI Number | 1396817193
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Entity Type | Organization
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Legal Business Name | LOS ALAMITOS OB-GYN MEDICAL GROUP
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 02/10/2012
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Provider Practice Location Address
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Address Line | 3771 KATELLA AVE STE 219
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City | LOS ALAMITOS
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State | CA
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Zip | 90720-3119
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Country | US
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Telephone | 562-596-5566
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Fax | 562-498-5899
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Provider Business Mailing Address
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Address Line | 3771 KATELLA AVE STE 219
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City | LOS ALAMITOS
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State | CA
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Zip | 90720-3119
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Country | US
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Telephone | 562-596-5566
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Fax | 562-498-5899
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOHN L. PINCHES III
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Credential | D.O.
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Telephone | 562-596-5566
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 20A6917
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License Number State | CA
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