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General NPI Number Information
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NPI Number | 1891640843
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Entity Type | Organization
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Legal Business Name | SANTA MARIA MEDICAL GROUP INC
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Dates
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Enumeration Date | 03/03/2026
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Last Update Date | 03/03/2026
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Provider Practice Location Address
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Address Line | 1701 E MCFADDEN AVE STE D
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City | SANTA ANA
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State | CA
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Zip | 92705-4647
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Country | US
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Telephone | 714-953-6430
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Fax | 714-953-1290
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Provider Business Mailing Address
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Address Line | 1701 E MCFADDEN AVE STE D
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City | SANTA ANA
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State | CA
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Zip | 92705-4647
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Country | US
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Telephone | 714-953-6430
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Fax | 714-953-1290
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Authorized Official
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Title or Position | CEO/MEDICAL DIRECTOR
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Name | MR. SEAN COREY FISCHER
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Credential | MD
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Telephone | 714-953-6430
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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