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Contact Information

ORANGE PARK MEDICAL GROUP, A PROFESSIONAL CORP.
2500 E BALL RD STE 200
ANAHEIM, CA92806
 Phone: 714-284-0111
 Fax: 714-284-0433
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for ORANGE PARK MEDICAL GROUP A PROFESSIONAL CORP · (Female)

NPI Number 1124369715
Status Active
Credentials
Entity Individual
Enumeration date 03/07/2013
Last updated 03/12/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # BUS2010-02745
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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