NPI 1104153113

Orange County Medical Group, INC.

Organisation Sports Medicine (Neuromusculoskeletal Medicine) Physician Anaheim, CA

Practice location

Address: 1211 W La Palma Ave STE 709, Anaheim, CA 92801-2814
Phone: (714) 808-9292

Authorised official

Name: Roseann Gonzalez
Title: President
Phone: (714) 808-9292

Registered specialties

Sports Medicine (Neuromusculoskeletal Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 204C00000X Licence G84446 (CA)

Other Neuromusculoskeletal Medicine, Sports Medicine providers in California →

Registry record

NPI: 1104153113
Entity type: Organization
NPI issued: 11 Nov 2009
Record last updated: 11 Nov 2009

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.