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Organization

ORANGE COUNTY MEDICAL GROUP, INC

Active
Parent organization
ORANGE COUNTY MEDICAL GROUP, INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
ORANGE COUNTY MEDICAL GROUP, INC
Authorized official
HOWARD ROSEN MD (MEDICAL DIRECTOR)
(714) 808-9292
Entity
Organization

Contact information

Practice address
1211 W LA PALMA AVE, STE 709, ANAHEIM, CA 92801-2815
(714) 808-9292
Mailing address
2980 N BEVERLY GLEN CIR, STE 301, LOS ANGELES, CA 90077-1726
(310) 474-9809

Taxonomy

Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary

Other

Enumeration date
08/18/2010
Last updated
03/01/2011
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