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NPI Code Detail

MEDICARE: ACUTE CARE MEDICAL GROUP OF ORANGE INC

MEDICARE: ACUTE CARE MEDICAL GROUP OF ORANGE 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
1207P00000XEmergency Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396798690
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACUTE CARE MEDICAL GROUP OF ORANGE INC
Provider Business Mailing Address
First Line : PO BOX 2035
Second Line :
City : ORANGE
State : CA
Zip : 92859-0035
Country : US
Telephone Number : 562-809-3569
Fax Number :
Provider Business Practice Location Address
First Line : 2601 E CHAPMAN AVE
Second Line :
City : ORANGE
State : CA
Zip : 92869-3206
Country : US
Telephone Number : 714-633-0011
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : PETER G ANDERSON
Credential : MD
Telephone Number : 562-809-3569
Provider Enumeration Date : 05/18/2006
Last Update Date : 06/19/2008

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Directions to “ACUTE CARE MEDICAL GROUP OF ORANGE INC ” Practice Location

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