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1871059246
ISTAPHANOUS MEDICAL CORPORATION
ORANGE, CA
NPI
1871059246
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Entity Type
Organization
Authorized Contact
JESSICA HAMILTON
Provider Enrollment
714-347-1053
Organization Subpart ?
No
Primary Taxonomy
207L00000X Anesthesiology
Enumeration Date
2019-02-11
Last Update Date
2019-02-11
Business Address
ISTAPHANOUS MEDICAL CORPORATION
681 S PARKER ST STE 150
ORANGE, CA 92868-4761
Phone number: 714-744-0900
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Mailing Address
ISTAPHANOUS MEDICAL CORPORATION
210 N TUSTIN AVE
SANTA ANA, CA 92705-3807
Phone number: 714-347-1000
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