| Organization Name: | NATIONWIDE MEDICAL GROUP, INC |
| NPI Number: | 1174671549 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GEORGE GIRGIS (DIRECTOR) |
| Mailing Address: | 6500 Morro Rd Ste D Atascadero |
| State: | CA US |
| Postal Code: | 934224142 |
| Phone Number: | 8054615212 |
| Fax Number: | 8054615873 |
| NPI Enumeration Date: | 01/08/2007 |
| NPI Last Update Date: | 04/15/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QC1500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |