Organization
OC HEALTH MPN GROUP PC
Active
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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