Organization
JASON J MARENGO MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON J MARENGO M.D (OWENER)
(714) 501-9831
Entity
Organization
Contact information
Practice address
3055 W ORANGE AVE STE 103, ANAHEIM, CA 92804-3152
(714) 995-2901
Mailing address
PO BOX 2578, SEAL BEACH, CA 90740-2578
(714) 501-9831
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
01/04/2012
Last updated
01/04/2012
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