Organization
ORTHOPAEDIC MEDICAL GROUP OF SANTA ANA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGIE S MARK (OFFICE MANAGER)
(714) 508-4123
Entity
Organization
Contact information
Practice address
18102 IRVINE BOULEVARD, SUITE 107, TUSTIN, CA 92780-3423
(714) 508-4123
(714) 508-4134
Mailing address
18102 IRVINE BOULEVARD, SUITE 107, TUSTIN, CA 92780-3423
(714) 508-4123
(714) 508-4134
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
FNP5956
CA
Other
Enumeration date
04/25/2008
Last updated
04/25/2008
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