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1174802433
FULLERTON ORTHOPAEDIC SURGERY MEDICAL GROUP, INC.
HUNTINGTON BEACH, CA
NPI
1174802433
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Entity Type
Organization
Authorized Contact
KENDALL WAGNER
President
714-879-0050
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: CA 20A9973)
Enumeration Date
2011-08-04
Last Update Date
2011-08-04
Business Address
FULLERTON ORTHOPAEDIC SURGERY MEDICAL GROUP, INC.
15039 GOLDENWEST ST
HUNTINGTON BEACH, CA 92647-2710
Phone number: 714-893-7400
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Mailing Address
FULLERTON ORTHOPAEDIC SURGERY MEDICAL GROUP, INC.
101 LAGUNA RD STE A
FULLERTON, CA 92835-3635
Phone number: 714-879-0050
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