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1376842328 NPI number — ORANGE COUNTY UROGYNECOLOGY, A MEDICAL CORP.

NPI Number: 1376842328
Health Care Provider/Practitioner: ORANGE COUNTY UROGYNECOLOGY, A MEDICAL CORP.

Information about “1376842328” NPI (ORANGE COUNTY UROGYNECOLOGY, A MEDICAL CORP.) exists in 1376842328 in HTML format HTML  |  1376842328 in plain Text format TXT  |  1376842328 in PDF (Portable Document Format) PDF  |  1376842328 in an XML format XML  formats.

NPI Number : 1376842328 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1376842328",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ORANGE COUNTY UROGYNECOLOGY, A MEDICAL CORP.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "25108 MARGUERITE PKWY",
    "SecondLineMailingAddress": "A-259",
    "MailingAddressCityName": "MISSION VIEGO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92692",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "310-770-1706",
    "MailingAddressFaxNumber": "866-545-3197",
    "FirstLinePracticeLocationAddress": "25108 MARGUERITE PKWY",
    "SecondLinePracticeLocationAddress": "A-259",
    "PracticeLocationAddressCityName": "MISSION VIEGO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92692",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "310-770-1706",
    "PracticeLocationAddressFaxNumber": "866-545-3197",
    "EnumerationDate": "03/16/2011",
    "LastUpdateDate": "03/16/2011",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BONNI",
    "AuthorizedOfficialFirstName": "ARAM",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT/MEDICAL DOCTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "310-770-1706",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "208800000X",
          "TaxonomyName": "Urology Physician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207V00000X",
          "TaxonomyName": "Obstetrics & Gynecology Physician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

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