Astra Medical Group
Health Maintenance Organization in Orange, CA. Organization (NPI-2).
NPI number1336368422
StatusActive
Last updated in NPPESAug 24, 2009
Details
- NPI
- 1336368422
- Entity type
- Organization (NPI-2)
- Legal business name
- Astra Medical Group
- Organization subpart
- No
- Enumeration date
- Apr 25, 2007
- Last updated
- Aug 24, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 302R00000X | Health Maintenance Organization | I-77745-L | CA | Yes |
Other names
- Astra Primary Medical Group (Doing Business As)
Practice location
2617 E Chapman Ave Ste 205Orange, CA 92869-3248
Phone 714-538-6822 · Fax 714-280-4510
Mailing address
2617 E Chapman Ave Ste 205Orange, CA 92869-3248
Phone 714-538-6822 · Fax 714-280-4510
Authorized official
Jacqueline Figueroa
Supervisor
7145386822
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