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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.

NPI # 1124369715
LBN Legal business name ORANGE PARK MEDICAL GROUP, A PROFESSIONAL CORP.
Authorized official GHAZALA AHMED - (SECRETARY)
Entity Organization
Organization subpart 1 No
Enumeration date 03/07/2013
Last updated 03/12/2013 - About 13 years ago
Identifiers
CA License # BUS2010-02745
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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