NPI 1124369715

Orange Park Medical Group, a Professional Corp.

Organisation Specialist Anaheim, CA

Practice location

Address: 2500 E Ball Rd STE 200, Anaheim, CA 92806
Phone: (714) 284-0111
Fax: (714) 284-0433
Mailing address: 2500 E Ball Rd STE 200, Anaheim, CA 92806-5063

Authorised official

Name: Ghazala Ahmed
Title: Secretary
Phone: (714) 284-0111

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence BUS2010-02745 (CA)

Other Specialist providers in California →

Registry record

NPI: 1124369715
Entity type: Organization
NPI issued: 7 Mar 2013
Record last updated: 12 Mar 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.