Organization
NORTHERN ORANGE COUNTY ENT MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN HODGES (OFFICE MANAGER)
(714) 441-0133
Entity
Organization
Contact information
Practice address
1955 SUNNYCREST DR, STE 108, FULLERTON, CA 92835-3654
(714) 441-0133
(714) 441-1082
Mailing address
1955 SUNNYCREST DR, STE 108, FULLERTON, CA 92835-3654
(714) 441-0133
(714) 441-1082
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
G73421
CA
Other
Enumeration date
04/24/2006
Last updated
01/18/2013
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