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Contact Information

ORANGE COUNTY OPHTHALMOLOGY MEDICAL GROUP
12665 GARDEN GROVE BLVD
#401
GARDEN GROVE, CA92843
 Phone: 714-534-8373
 Fax: 714-534-8759
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for ORANGE COUNTY OPHTHALMOLOGY MEDICAL GROUP

NPI Number 1740362631
LBN Legal business name ORANGE COUNTY OPHTHALMOLOGY MEDICAL GROUP
Authorized official RUTH GASSO - (OFFICE ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/19/2006
Last updated 01/16/2024 - About 2 years ago
Identifiers
CA Medicaid ZZZ74712Z
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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