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Contact Information

PERINATAL DX MEDICAL GRP OR ORANGE COUNTY
11180 WARNER AVE
#263
FOUNTAIN VALLEY, CA92708-7501
 Phone: 714-241-9742
 Fax: 714-241-0136
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice and Palliative Medicine

207VH0002X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for PERINATAL DX MEDICAL GRP OR ORANGE COUNTY · (Female)

NPI # 1003035882
Status Active
Credentials
Entity Individual
Enumeration date 04/24/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA Medicaid GR0018070
  • CA Other ZZZ95475Z BLUE SHIELD OF CA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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