| Orange Family Medicine Inc | |
|
229 S Glassell St Orange CA 92866-1945 | |
| (714) 639-0303 | |
| (714) 639-3708 |
| Full Name | Orange Family Medicine Inc |
|---|---|
| Speciality | General Practice |
| Location | 229 S Glassell St, Orange, California |
| Authorized Official Name and Position | Alonzo Juan Flores (CEO) |
| Authorized Official Contact | 7146390303 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Orange Family Medicine Inc 229 S Glassell St Orange CA 92866-1945 Ph: (714) 639-0303 | Orange Family Medicine Inc 229 S Glassell St Orange CA 92866-1945 Ph: (714) 639-0303 |
| NPI Number | 1104120633 |
|---|---|
| Provider Enumeration Date | 12/23/2010 |
| Last Update Date | 04/13/2011 |
| Medicare PECOS PAC ID | 8325237001 |
|---|---|
| Medicare Enrollment ID | O20110111000819 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104120633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | C40484 (California) | Primary |
| Provider Name | Alonzo J Flores |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518013978 PECOS PAC ID: 5496944183 Enrollment ID: I20110111000892 |
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