# ORTHOPAEDIC SURGERY MEDICAL GROP

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

## Provider details

- **NPI number:** 1871608935
- **Authorized official:** MRS. MARLENE DAGOSTINO I (MANAGER)
- **Authorized official phone:** (714) 835-3031

## Contact information

- **Practice address:** 1125 E 17TH ST, \#E-218, SANTA ANA, CA 92701-2201
- **Practice address phone:** (714) 835-3031
- **Practice address fax:** (714) 835-6546
- **Mailing address:** 1125 E 17TH ST, \#E-218, SANTA ANA, CA 92701-2201
- **Mailing address phone:** (714) 835-3031
- **Mailing address fax:** (714) 835-6546

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/20/2006
- **Last updated:** 08/22/2020