# MARINE MEDICAL CENTERS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790891091
- **Authorized official:** DR. OWUSU ANANEH FIREMPONG M.D. (PRESIDENT)
- **Authorized official phone:** (714) 434-9559

## Contact information

- **Practice address:** 11180 WARNER AVE, FOUNTAIN VALLEY, CA 92708-7501
- **Practice address phone:** (714) 434-9559
- **Mailing address:** 311 N ROBERTSON BLVD \# 373, BEVERLY HILLS, CA 90211-1705

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/21/2006
- **Last updated:** 07/23/2007