Organization
DE ANZA ORTHOPEDIC MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WADE FAERBER DO (DIRECTOR)
(951) 486-5690
Entity
Organization
Contact information
Practice address
26520 CACTUS AVE, MORENO VALLEY, CA 92555
(951) 486-5690
(951) 486-5213
Mailing address
PO BOX 7270, MORENO VALLEY, CA 92552-7270
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
11/27/2013
Last updated
06/26/2018
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