Organization
ORANGE COUNTY MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSEANN GONZALEZ (PRESIDENT)
(714) 808-9292
Entity
Organization
Contact information
Practice address
1211 W LA PALMA AVE STE 709, ANAHEIM, CA 92801-2814
(714) 808-9292
Mailing address
1211 W LA PALMA AVE STE 709, ANAHEIM, CA 92801-2814
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
G84446
CA
Other
Enumeration date
11/11/2009
Last updated
11/11/2009
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