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Organization
DE ANZA ORTHOPEDIC MEDICAL GROUP, INC.
Active
Organization
DE ANZA ORTHOPEDIC MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WADE FAERBER DO (DIRECTOR)
(951) 486-5690
Entity
Organization
Contact information
Practice address
26520 CACTUS AVE, MORENO VALLEY, CA 92555
(951) 486-5690
(951) 486-5213
Mailing address
PO BOX 7270, MORENO VALLEY, CA 92552-7270
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
11/27/2013
Last updated
06/26/2018
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