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Organization
INNOVATEMED MEDICAL GROUP PC
Active
Organization
INNOVATEMED MEDICAL GROUP PC
Active
Other names
Orange Novacare Medical Group PC
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ARASI PRASAD (ADMINISTRATOR)
(714) 639-4012
Entity
Organization
Contact information
Practice address
615 E CHAPMAN AVE STE 300, ORANGE, CA 92866-1643
(714) 639-4012
(714) 639-4018
Mailing address
615 E CHAPMAN AVE STE 300, ORANGE, CA 92866-1643
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/26/2023
Last updated
03/05/2024
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