Organization
ORANGE COUNTY OPHTHALMOLOGY MEDICAL GROUP
Active
Other names
Orange County Eye Surgical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RUTH GASSO (OFFICE ADMINISTRATOR)
(714) 534-8353
Entity
Organization
Contact information
Practice address
12665 GARDEN GROVE BLVD, #401, GARDEN GROVE, CA 92843
(714) 534-8373
(714) 534-8759
Mailing address
12665 GARDEN GROVE BLVD, #401, GARDEN GROVE, CA 92843
(714) 534-8373
(714) 534-8759
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ74712Z
—
CA
Enumeration date
10/19/2006
Last updated
01/16/2024
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