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Organization
PEDIATRICS & NEONATOLOGY MEDICAL GROUP OF ORANGE COUNTY INC
Active
Organization
PEDIATRICS & NEONATOLOGY MEDICAL GROUP OF ORANGE COUNTY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB SWEIDAN M.D. (PRESIDENT/CEO/OWNER)
(714) 915-4656
Entity
Organization
Contact information
Practice address
12665 GARDEN GROVE BLVD, SUITE 713, GARDEN GROVE, CA 92843-1921
(714) 537-6595
(714) 537-2176
Mailing address
P.O. BOX 8500, NEWPORT BEACH, CA 92658-8500
(714) 537-6595
(714) 537-2176
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
180024
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A213320
—
CA
05
—
00A378880
—
CA
05
—
00A446640
—
CA
05
—
00A943300
—
CA
05
—
00C350690
—
CA
05
—
00G268130
—
CA
05
—
00PA142210
—
CA
05
—
00PA177430
—
CA
05
—
00PA183200
—
CA
05
—
GR0093291
—
CA
Enumeration date
05/12/2008
Last updated
10/09/2024
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