Organization
ARCHWAY MEDICAL GROUP, INC
Active
Organization
ARCHWAY MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. N CHARLE MORCOS MD (PRESIDENT)
(714) 564-8287
Entity
Organization
Contact information
Practice address
999 N TUSTIN AVE STE 15, SANTA ANA, CA 92705-6504
(714) 564-8287
(714) 564-0014
Mailing address
999 N TUSTIN AVE STE 15, SANTA ANA, CA 92705-6504
(714) 564-8287
(714) 564-0014
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G72410
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G72410
LICENSE NUMBER
CA
Enumeration date
06/13/2007
Last updated
11/04/2011
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