Organization
LA GUADALUPANA MEDICAL GROUP A MEDICAL CORPORATION
Active
Parent organization
UROGYNECOLOGY ASSOCIATES A MEDICAL CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
UROGYNECOLOGY ASSOCIATES A MEDICAL CORPORATION
Authorized official
DR. ARAM BONNI M.D. (MEDICAL DIRECTOR/OWNER)
(714) 839-8676
Entity
Organization
Contact information
Practice address
307 E 1ST ST, 1C, SANTA ANA, CA 92701-5302
(714) 839-8676
(714) 839-8675
Mailing address
307 E 1ST ST, 1C, SANTA ANA, CA 92701-5302
(714) 839-8676
(714) 839-8675
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
A66385
CA
261QA0005X
Ambulatory Family Planning Facility
A66385
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11404859164
—
CA
01
—
A66385
CALIFORNIA MEDICAL LICENSE
CA
Enumeration date
09/02/2015
Last updated
09/02/2015
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