| Organization Name: | CARDINAL MEDICAL GROUP INC. |
| NPI Number: | 1336531714 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMIE MARIE NUWER (COO) |
| Mailing Address: | 2248 Park Blvd Palo Alto |
| State: | CA US |
| Postal Code: | 943061532 |
| Phone Number: | 6503284411 |
| Fax Number: | 6503284469 |
| NPI Enumeration Date: | 02/23/2015 |
| NPI Last Update Date: | 04/03/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A107872 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |