National Provider Identifier Database

ORANGE PARK MEDICAL GROUP A PROFESSIONAL CORP
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


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
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for ORANGE PARK MEDICAL GROUP, A PROFESSIONAL CORP.

NPI Number 1124369715
Legal business name
LBN
ORANGE PARK MEDICAL GROUP, A PROFESSIONAL CORP.
Authorized official GHAZALA AHMED - (SECRETARY)
Entity Organization
Organization subpart No
Enumeration date 03/07/2013
Last updated 03/12/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: BUS2010-02745

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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