Organization
ORANGE COUNTY PROFESSIONAL MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOLLY SATA M.D. (PRESIDENT)
(714) 600-6760
Entity
Organization
Contact information
Practice address
4103 N VIKING WAY, SUITE D, LONG BEACH, CA 90808-1490
(714) 600-6760
(714) 935-9559
Mailing address
4103 N VIKING WAY, SUITE D, LONG BEACH, CA 90808-1490
(714) 600-6760
(714) 935-9559
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
G71823
CA
Other
Enumeration date
04/28/2017
Last updated
04/28/2017
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