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Organization
SOUTHERN ORANGE COUNTY PEDIATRIC ASSOCIATES, INC.
Active
Organization
SOUTHERN ORANGE COUNTY PEDIATRIC ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE JACKSON (PRACTICE ADMINISTRATOR)
(949) 770-6789
Entity
Organization
Contact information
Practice address
23321 EL TORO RD, SUITES F&G, LAKE FOREST, CA 92630-4825
(949) 770-6789
(949) 829-9125
Mailing address
23321 EL TORO RD, SUITES F&G, LAKE FOREST, CA 92630-4825
(949) 770-6789
(949) 829-9125
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
CA
Other
Enumeration date
05/07/2006
Last updated
01/18/2013
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