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Organization
WESTERN MEDICAL CENTER TRAUMA GROUP INC
Active
Organization
WESTERN MEDICAL CENTER TRAUMA GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VALERIE KWAN (MANAGER)
(626) 768-4415
Entity
Organization
Contact information
Practice address
1001 TUSTIN AVE, SANTA ANA, CA 92705
(714) 530-3270
Mailing address
PO BOX 3428, TUSTIN, CA 92781-3428
(714) 289-1559
(714) 289-0280
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0089430
—
CA
Enumeration date
10/02/2006
Last updated
05/07/2024
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