Shadowridge Medical Group
Shadowridge Medical Group is a Specialist in Vista, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
Practice location Address checks out
1680 S Melrose Dr Ste 105Vista, CA 92081-5472
Phone: (760) 727-6920
Fax: (760) 727-3368
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence G045531 (CA) |
|---|
Record details
| NPI number | 1639398613 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Todd Wine — Physician · (760) 727-6920 |
| NPI enumerated | April 25, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 1680 S Melrose Dr Ste 105, Vista, CA 92081-5472 |
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