Organization
ASSOCIATED HEAD & NECK SURGEONS OF GREATER ORANGE COUNTY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBECCA JANSEN I (BILLING MANAGER)
(714) 447-4100
Entity
Organization
Contact information
Practice address
1950 SUNNYCREST DR STE 3800, FULLERTON, CA 92835-3647
(714) 447-4100
(714) 447-1923
Mailing address
2240 N HARBOR BLVD STE 200, FULLERTON, CA 92835-2635
(714) 447-4100
(714) 447-1923
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CS4872
RAILROAD MEDICARE
CA
05
—
GR0058670
—
CA
Enumeration date
03/08/2007
Last updated
10/02/2019
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