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Organization
PEDIATRICS & NEONATOLOGY MEDICAL GROUP OF ORANGE COUNTY
Active
Organization
PEDIATRICS & NEONATOLOGY MEDICAL GROUP OF ORANGE COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL CRESAP (DIRECTOR OF OPERATIONS)
(714) 537-6595
Entity
Organization
Contact information
Practice address
12555 GARDEN GROVE BLVD, SUITE 206, GARDEN GROVE, CA 92843-1902
(714) 537-6595
(714) 537-2176
Mailing address
12555 GARDEN GROVE BLVD, SUITE 206, GARDEN GROVE, CA 92843-1902
(714) 537-6595
(714) 537-2176
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A44664
CA
Other
Enumeration date
08/13/2006
Last updated
08/22/2020
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