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Organization
PEDIATRIC MEDICAL ASSOCIATES OF ORANGE COUNTY INC
Active
Organization
PEDIATRIC MEDICAL ASSOCIATES OF ORANGE COUNTY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAMERTO GARCIA M D (CEO)
(714) 520-0826
Entity
Organization
Contact information
Practice address
1211 W LA PALMA AVE, SUITE 401, ANAHEIM, CA 92801-2815
(714) 520-0313
(714) 520-0896
Mailing address
1211 W LA PALMA AVE, SUITE 401, ANAHEIM, CA 92801-2815
(714) 520-0313
(714) 520-0896
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
00A489170
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A489170
—
CA
Enumeration date
10/03/2007
Last updated
10/03/2007
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