Organization
PEDIATRIC SURGICAL SPECIALISTS OF ORANGE COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CHRISTINA M BARRETTA (PRACTICE MANAGER)
(714) 361-4480
Entity
Organization
Contact information
Practice address
1120 W LA VETA AVE, SUITE 100, ORANGE, CA 92868-4231
(714) 361-4480
(714) 361-4490
Mailing address
1120 W LA VETA AVE, SUITE 100, ORANGE, CA 92868-4231
(714) 361-4480
(714) 361-4490
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
G79479
CA
Other
Enumeration date
12/11/2007
Last updated
12/12/2007
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