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Organization

CHILDREN'S SURGICAL ASSOCIATES, A MEDICAL CORPORATION

Active
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Organization

CHILDREN'S SURGICAL ASSOCIATES, A MEDICAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN GERMAN M.D. (PRESIDENT)
(714) 289-4704
Entity
Organization

Contact information

Practice address
1120 W LA VETA AVE, STE. 100, ORANGE, CA 92868-4231
(714) 571-5000
(714) 571-5055
Mailing address
1120 W LA VETA AVE, STE. 100, ORANGE, CA 92868-4231
(714) 571-5000
(714) 571-5055

Taxonomy

Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
—
NULL
2086S0120X
Pediatric Surgery Physician
Primary
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0064800
—
CA
01
—
ZZZ46292Z
BLUE SHIELD OF CA
CA
Enumeration date
08/10/2005
Last updated
07/26/2007
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