Organization
NATIONSMED MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYN HENDERSON DO (OWNER)
(714) 639-4012
Entity
Organization
Contact information
Practice address
615 E CHAPMAN AVE, ORANGE, CA 92866
(714) 639-4012
Mailing address
615 E CHAPMAN AVE, ORANGE, CA 92866-1643
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
06/21/2018
Last updated
06/21/2018
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