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1386935716
CHAMPION MEDICAL GROUP, A MEDICAL CORPORATION
SANTA ANA, CA
NPI
1386935716
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Entity Type
Organization
Authorized Contact
HERBERT MARSHAK
Medical Director
714-210-8848
Organization Subpart ?
Yes
Primary Taxonomy
332900000X Non-Pharmacy Dispensing Site
Enumeration Date
2011-04-19
Last Update Date
2015-10-05
Business Address
CHAMPION MEDICAL GROUP, A MEDICAL CORPORATION
1206 E 17TH ST STE 106
SANTA ANA, CA 92701-2641
Phone number: 714-210-8848
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Mailing Address
CHAMPION MEDICAL GROUP, A MEDICAL CORPORATION
2980 N BEVERLY GLEN CIR STE 100
LOS ANGELES, CA 90077-1726
Phone number: 310-474-9809
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