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General NPI Number Information
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NPI Number | 1275566259
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Entity Type | Organization
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Legal Business Name | ORANGE COUNTY UROGYNECOLOGY, INC.
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 26012 MARGUERITE PKWY H-105
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City | MISSION VIEJO
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State | CA
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Zip | 92692-3263
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Country | US
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Telephone | 310-770-1706
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Fax |
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Provider Business Mailing Address
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Address Line | 26012 MARGUERITE PKWY H-105
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City | MISSION VIEJO
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State | CA
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Zip | 92692-3263
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Country | US
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Telephone | 310-770-1706
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ARAM BONNI
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Credential | M.D.
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Telephone | 310-770-1706
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | A66385
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | A66385
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License Number State | CA
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