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Organization
SA MEDICAL CENTER INC.
Active
Organization
SA MEDICAL CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH A CARELLA M.D. (MEDICAL DIRECTOR)
(714) 541-4090
Entity
Organization
Contact information
Practice address
610 W 17TH ST, SANTA ANA, CA 92706-3621
(714) 541-4090
(714) 541-8815
Mailing address
610 W 17TH ST, SANTA ANA, CA 92706-3621
(714) 541-4090
(714) 541-8815
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0086200
—
CA
Enumeration date
03/12/2007
Last updated
09/23/2008
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