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NPI Code Detail

MEDICARE: CITY OF ORANGE PHYSICAL MEDICINE GROUP INC

MEDICARE: CITY OF ORANGE PHYSICAL MEDICINE GROUP INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation Physician

General Provider Information

NPI Number : 1265816367
Entity Type Code : Organization
Provider Name (Legal Business Name) : CITY OF ORANGE PHYSICAL MEDICINE GROUP INC
Provider Business Mailing Address
First Line : 2832 E CHAPMAN AVE
Second Line :
City : ORANGE
State : CA
Zip : 92869-3211
Country : US
Telephone Number : 714-532-2827
Fax Number : 714-532-2917
Provider Business Practice Location Address
First Line : 2832 E CHAPMAN AVE
Second Line :
City : ORANGE
State : CA
Zip : 92869-3211
Country : US
Telephone Number : 714-532-2827
Fax Number : 714-532-2917
Authorized Official
Title or Position : PRESIDENT
Name : DR. MARK J BELL
Credential : D.C.
Telephone Number : 714-532-2827
Provider Enumeration Date : 07/17/2015
Last Update Date : 10/23/2015

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Directions to “CITY OF ORANGE PHYSICAL MEDICINE GROUP INC ” Practice Location

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