True Doc Medical Group Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

544451 Issued in CA

Legal business name

TRUE DOC MEDICAL GROUP INC.

Practice address

770 Magnolia Ave Ste 2C
Corona, CA 92879-3122

Phone

(951) 737-0110

Fax

(951) 737-5944

NPI assigned

Mar 23, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mowbray P Hagan, M.D.NPI 1235145590

Title

President

Phone

(951) 734-6110

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mowbray Philip Hagan, MD

  • Internal Medicine Physician
  • Corona, CA
  • NPI 1235145590
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458691200000",
    "number": "1689036121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2469 POMONA RD STE 101",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928806928",
            "telephone_number": "202-285-7881",
            "fax_number": "951-737-1167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 MAGNOLIA AVE STE 2C",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793122",
            "telephone_number": "951-737-0110",
            "fax_number": "951-737-5944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUE DOC MEDICAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-23",
        "last_updated": "2016-03-23",
        "status": "A",
        "authorized_official_last_name": "HAGAN",
        "authorized_official_first_name": "MOWBRAY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-734-6110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "544451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tri-County Eye Institute Inc
• Michael Trieu, DDS
• Jennifer Trigerous
• Susan Trinh, M.D.
• Tru Care Non Medical Transit Services Inc
• Carlee Trujillo
• Alexandra Trumbo
• Jonathan V Truong
• Theresa Truong, PHARMD
• Tiffany Truong, D.D.S.

• Clinic/Center in Corona, CA
• Providers in Corona, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.