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1010 W La Veta Ave Ste 570 Orange CA 92868-4305 | |
| (714) 835-7700 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1010 W La Veta Ave Ste 570, Orange, California |
| Authorized Official Name and Position | Margarita Joaquin (DIRECTOR OF CLINICAL OPERATIONS) |
| Authorized Official Contact | 8189370275 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1010 N Central Ave Ste 380 Glendale CA 91202-2937 Ph: () - | 1010 W La Veta Ave Ste 570 Orange CA 92868-4305 Ph: (714) 835-7700 |
| NPI Number | 1700392008 |
|---|---|
| Provider Enumeration Date | 12/21/2017 |
| Last Update Date | 12/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700392008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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