Organization
ABC MEDICAL GROUP, INC,, APC
Active
Other names
STEFAN J. ORR M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEFAN JONATHAN ORR M.D. (PRESIDENT)
(951) 371-5800
Entity
Organization
Contact information
Practice address
650 E PARKRIDGE AVE, SUITTE 114 & 115, CORONA, CA 92879-1091
(951) 371-5800
(951) 371-5115
Mailing address
650 E PARKRIDGE AVE, SUITTE 114 & 115, CORONA, CA 92879-1091
(951) 371-5800
(951) 371-5115
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C38530
CA
208000000X
Pediatrics Physician
C38530
CA
Other
Enumeration date
01/07/2008
Last updated
01/07/2008
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