# ENDOCRINE CONSULTANTS AND SPECIALISTS MEDICAL GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Endocrine Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770666828
- **Authorized official:** DR. SAMUEL O MAYEDA MD (PHYSICIAN OWNER)
- **Authorized official phone:** (714) 285-1904

## Contact information

- **Practice address:** 1140 W LA VETA, SUITE 420, ORANGE, CA 92868
- **Practice address phone:** (714) 285-1904
- **Practice address fax:** (714) 571-5979
- **Mailing address:** 1140 W LA VETA, STE 420, ORANGE, CA 92868
- **Mailing address phone:** (714) 285-1904
- **Mailing address fax:** (714) 571-5979

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/23/2006
- **Last updated:** 08/22/2020