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Organization
LIFANG MAO MD INC
Active
Organization
LIFANG MAO MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY MEHRER (MANAGER)
(818) 550-0900
Entity
Organization
Contact information
Practice address
12601 GARDEN GROVE BLVD, GARDEN GROVE, CA 92843-1908
(714) 741-2772
(714) 741-3364
Mailing address
PO BOX 5486, ORANGE, CA 92863-5486
(818) 550-0900
(303) 953-8260
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A132423
CA
Other
Enumeration date
02/19/2018
Last updated
02/19/2018
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