NPI 1093736118

Orange Doctors of Kids and Teens

Organisation Preferred Provider Organization Orange, CA

Practice location

Address: 1310 W. Stewart Drive Suite #506, Orange, CA 92868
Phone: (714) 639-3914
Fax: (714) 538-5427

Authorised official

Name: Allan Wong
Title: Treasurer
Phone: (714) 639-3914

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

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Registry record

NPI: 1093736118
Entity type: Organization
NPI issued: 22 Jul 2006
Record last updated: 10 Sep 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.