Organization
5 STAR MEDICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONAH BULOSAN M.D. (OWNER)
(714) 926-6900
Entity
Organization
Contact information
Practice address
2230 W CHAPMAN AVE, SUITE 124, ORANGE, CA 92868-2333
(714) 926-6900
(714) 464-4467
Mailing address
8251 LA PALMA AVE # 240, BUENA PARK, CA 90620-3205
(714) 926-6900
(714) 464-4467
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A79396
CA
Other
Enumeration date
12/11/2006
Last updated
07/23/2007
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