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Organization
SHUNMUGARAJA SUBBIAH MD A PROFESSIONAL MEDICAL CORPORATION
Active
Organization
SHUNMUGARAJA SUBBIAH MD A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHUNMUGARAJA SUBBIAH MD (PRESIDENT)
(714) 418-6522
Entity
Organization
Contact information
Practice address
18111 BROOKHURST ST STE 3200, FOUNTAIN VALLEY, CA 92708-6728
(714) 369-1100
(714) 464-4645
Mailing address
210 N TUSTIN AVE, SANTA ANA, CA 92705-3807
(714) 347-1000
(714) 647-1243
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A72997
CA
207L00000X
Anesthesiology Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A729970
—
CA
Enumeration date
10/09/2006
Last updated
07/21/2021
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