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1821488438
OB/GYN UNIVERSITY ASSOCIATES- FOUNTAIN VALLEY
FOUNTAIN VALLEY, CA
NPI
1821488438
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Entity Type
Organization
Authorized Contact
ROGER L. CRUMLEY
Interim President
714-456-2986
Organization Subpart ?
Yes
Primary Taxonomy
261QH0100X Clinic/Center Health Service
Enumeration Date
2015-02-03
Last Update Date
2015-02-03
Business Address
OB/GYN UNIVERSITY ASSOCIATES- FOUNTAIN VALLEY
11190 WARNER AVE SUITE 402
FOUNTAIN VALLEY, CA 92708-4019
Phone number: 714-556-3902
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Mailing Address
OB/GYN UNIVERSITY ASSOCIATES- FOUNTAIN VALLEY
PO BOX 513980
LOS ANGELES, CA 90051-3980
Phone number: 714-456-6431
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