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Organization
CORMORANT ORTHOPAEDIC MEDICAL ASSOC INC
Active
Organization
CORMORANT ORTHOPAEDIC MEDICAL ASSOC INC
Active
Other names
Cormorant Ortho Med Assoc Inc
Organization subpart
No
Provider details
NPI number
Authorized official
NEIL D KRAVETZ MD (PRESIDENT)
(714) 771-5058
Entity
Organization
Contact information
Practice address
630 S GLASSELL STREET, STE 201, ORANGE, CA 92866-3090
(714) 771-5058
(714) 639-2778
Mailing address
630 S GLASSELL ST, STE 201, ORANGE, CA 92866-3090
(714) 771-5058
(714) 639-2778
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
C26647
CA
Other
Enumeration date
04/12/2007
Last updated
08/22/2020
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