David B. Stanton M.d. & Associates, A Medical Group, Inc. | |
1140 W La Veta Ave Suite 555 Orange CA 92868-4223 | |
(714) 835-5100 | |
(714) 835-5567 |
Full Name | David B. Stanton M.d. & Associates, A Medical Group, Inc. |
---|---|
Speciality | Internal Medicine - Gastroenterology |
Location | 1140 W La Veta Ave, Orange, California |
Authorized Official Name and Position | David B Stanton (PRESIDENT) |
Authorized Official Contact | 7148355100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
David B. Stanton M.d. & Associates, A Medical Group, Inc. 1140 W La Veta Ave Suite 555 Orange CA 92868-4223 Ph: (714) 835-5100 | David B. Stanton M.d. & Associates, A Medical Group, Inc. 1140 W La Veta Ave Suite 555 Orange CA 92868-4223 Ph: (714) 835-5100 |
NPI Number | 1710090055 |
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Provider Enumeration Date | 08/17/2006 |
Last Update Date | 07/02/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710090055 | NPI | - | NPPES |
GR0058420 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | FNP20614 (California) | Primary |
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