ORANGE COUNTY MEDICAL GROUP INC. NPI 1104153113

NPI Information

NPI: 1104153113
Provider Name: ORANGE COUNTY MEDICAL GROUP, INC.
Classification: Neuromusculoskeletal Medicine, Sports Medicine - 204C00000X
Entity Type: Organization
Address:
1211 W LA PALMA AVE STE 709
ANAHEIM, CA
ZIP 92801
Phone: (714) 808-9292
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ORANGE COUNTY MEDICAL GROUP, INC. is a neuromusculoskeletal medicine sports medicine in Anaheim, CA. The provider is definition to come. ORANGE COUNTY MEDICAL GROUP, INC. NPI is 1104153113. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1211 W LA PALMA AVE STE 709
ANAHEIM, CA
ZIP 92801-814
Phone: (714) 808-9292

The provider's authorized official is Roseann Gonzalez .
The authorized official title is President and has the following contact phone number (714) 808-9292.

The enumeration date for this NPI number is 11/11/2009 and was last updated on 11/11/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	204C00000X	Neuromusculoskeletal Medicine, Sports Medicine		G84446	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	W21531	MEDICARE PIN	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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