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Organization
ORANGE PARK MEDICAL GROUP, A PROFESSIONAL CORP.
Active
Organization
ORANGE PARK MEDICAL GROUP, A PROFESSIONAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GHAZALA AHMED (SECRETARY)
(714) 284-0111
Entity
Organization
Contact information
Practice address
2500 E BALL RD STE 200, ANAHEIM, CA 92806
(714) 284-0111
(714) 284-0433
Mailing address
2500 E BALL RD STE 200, ANAHEIM, CA 92806-5063
(714) 284-0111
(714) 284-0433
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
BUS2010-02745
CA
Other
Enumeration date
03/07/2013
Last updated
03/12/2013
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