Organization
CORMORANT ORTHOPAEDIC MEDICAL ASSOC INC
Active
Other names
Cormorant Ortho Med Assoc Inc
Organization subpart
No
Provider details
NPI number
Authorized official
NEIL D KRAVETZ MD (PRESIDENT)
(714) 771-5058
Entity
Organization
Contact information
Practice address
630 S GLASSELL STREET, STE 201, ORANGE, CA 92866-3090
(714) 771-5058
(714) 639-2778
Mailing address
630 S GLASSELL ST, STE 201, ORANGE, CA 92866-3090
(714) 771-5058
(714) 639-2778
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
C26647
CA
Other
Enumeration date
04/12/2007
Last updated
08/22/2020
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