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Organization

OC HEALTH MPN GROUP PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MADHUSUDAN KUBERDAS KATAKIA M.D. (MEDICAL DIRECTOR)
(714) 972-4925
Entity
Organization

Contact information

Practice address
2001 E 1ST ST STE 110, SANTA ANA, CA 92705-4020
(714) 972-4925
(714) 972-4935
Mailing address
PO BOX 3687, TUSTIN, CA 92781-3687

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
171100000X
Acupuncturist
207LP2900X
Pain Medicine (Anesthesiology) Physician
207X00000X
Orthopaedic Surgery Physician
207XS0117X
Orthopaedic Surgery of the Spine Physician
2084P0800X
Psychiatry Physician
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Enumeration date
09/23/2014
Last updated
09/23/2014
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