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Organization

ANAHEIM MEMORIAL HOSPITAL EMERGENCY PHYSICIANS MEDICAL GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
IGNACIO ZARATE MD (PRESIDENT)
(562) 809-3543
Entity
Organization

Contact information

Practice address
1111 W LA PALMA AVE, ANAHEIM, CA 92801-2804
(714) 774-1450
Mailing address
PO BOX 10070, WESTMINSTER, CA 92685-0070
(562) 809-3543

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0095200
CA
Enumeration date
05/27/2006
Last updated
04/08/2008
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