Organization
PROSPECT NORTHWEST ORANGE COUNTY MEDICAL GROUP INC.
Active
Other names
Prospect NWOC Medical Group Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE S DICKSON (CEO)
(714) 796-5940
Entity
Organization
Contact information
Practice address
1920 E 17TH ST, SUITE 200, SANTA ANA, CA 92705-8626
(714) 796-5900
Mailing address
1920 E 17TH ST, SUITE 200, SANTA ANA, CA 92705-8626
(714) 796-5900
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
04/02/2007
Last updated
07/31/2008
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