Organization
ORTHOPAEDIC SURGERY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARLENE DAGOSTINO (MANAGER)
(714) 835-3031
Entity
Organization
Contact information
Practice address
1125 E 17TH ST STE E218, SANTA ANA, CA 92701-2218
(714) 835-3031
(714) 835-6546
Mailing address
1125 E 17TH ST STE E218, SANTA ANA, CA 92701-2218
(714) 835-3031
(714) 835-6546
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
CA
Other
Enumeration date
03/11/2008
Last updated
03/11/2008
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