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Organization
ORANGE COUNTY FIRST MEDICAL GROUP A PROFESSIONAL CORPORATION
Active
Organization
ORANGE COUNTY FIRST MEDICAL GROUP A PROFESSIONAL CORPORATION
Active
Other names
Anaheim Orange County First Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SYAM PRASAD GADDAM M.D. (PHYSICIAN)
(714) 636-9100
Entity
Organization
Contact information
Practice address
1771 W. ROMNEYA DR., SUITE C, ANAHEIM, CA 92801-1817
(714) 520-3000
(714) 520-5742
Mailing address
1771 W. ROMNEYA DR., SUITE C, ANAHEIM, CA 92801-1817
(714) 520-3000
(714) 520-5742
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0095540
—
CA
Enumeration date
10/03/2006
Last updated
03/12/2014
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