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Organization
MDA MEDICAL GROUP INC
Active
Organization
MDA MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE ELIZABETH HARAKO MD (PRESIDENT)
(714) 277-4200
Entity
Organization
Contact information
Practice address
1301 N ROSE DR, PLACENTIA, CA 92870-3802
(714) 993-2000
(714) 524-4866
Mailing address
721 W WHITTIER BLVD, SUITE O, LA HABRA, CA 90631-3759
(714) 277-4200
(714) 866-4127
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A94063
CA
Other
Enumeration date
09/04/2008
Last updated
03/14/2009
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