Organization
ACUTE CARE MEDICAL COASTAL
Active
Other names
Acute Care Medical Group of Orange Inc
Organization subpart
No
Provider details
NPI number
Authorized official
PETER G ANDERSON MD (PRESIDENT)
(562) 809-3564
Entity
Organization
Contact information
Practice address
2701 S BRISTOL ST, SANTA ANA, CA 92704-6201
(714) 754-5454
Mailing address
PO BOX 5172602, LOS ANGELES, CA 90051
(562) 809-3564
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0078600
—
CA
Enumeration date
05/18/2006
Last updated
12/22/2014
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