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Organization
ASF ORTHOPAEDIC MEDICAL GROUP INC
Active
Organization
ASF ORTHOPAEDIC MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLEN S FONSECA MD (OWNER)
(714) 972-8519
Entity
Organization
Contact information
Practice address
1125 EAST 17TH STREET, SUITE W130, SANTA ANA, CA 92701-2228
(714) 972-8519
(714) 972-0277
Mailing address
PO BOX 3459, CHATSWORTH, CA 91313-3459
(818) 700-1250
(818) 700-1045
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
12/13/2006
Last updated
08/22/2020
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