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Organization
ORDER OF MALTA CLINIC OF ORANGE INC.
Active
Organization
ORDER OF MALTA CLINIC OF ORANGE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD KOZAK MD (MEDICAL DIRECTOR)
(949) 309-8434
Entity
Organization
Contact information
Practice address
2424 N GRAND AVE STE C, SANTA ANA, CA 92705-8758
(714) 831-1541
(714) 592-0736
Mailing address
21271 CALLE HORIZONTE, LAKE FOREST, CA 92630-2145
(949) 309-8434
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/10/2026
Last updated
08/10/2026
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