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Organization
PERINATAL DX MEDICAL GRP OR ORANGE COUNTY
Active
Organization
PERINATAL DX MEDICAL GRP OR ORANGE COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAM R REED RDMS (SONOGRAPHER)
(714) 241-9742
Entity
Organization
Contact information
Practice address
11180 WARNER AVE, #263, FOUNTAIN VALLEY, CA 92708-7501
(714) 241-9742
(714) 241-0136
Mailing address
11180 WARNER AVE, #263, FOUNTAIN VALLEY, CA 92708-7501
(714) 241-9742
(714) 241-0136
Taxonomy
Speciality
Code
Description
License number
State
207VH0002X
Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0018070
—
CA
01
—
ZZZ95475Z
BLUE SHIELD OF CA
CA
Enumeration date
04/24/2007
Last updated
08/22/2020
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