Organization · NPI-2
Adoc Acquisition Co., A Medical Group, INC.
Internal Medicine · Garden Grove, CA
NPI number1508155102
StatusActive
Last updated in NPPESApr 4, 2011
Details
- NPI
- 1508155102
- Entity type
- Organization (NPI-2)
- Legal business name
- Adoc Acquisition Co., A Medical Group, INC.
- Organization subpart
- No
- Enumeration date
- Apr 4, 2011
- Last updated
- Apr 4, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
| 207Q00000X | Family Medicine | – | – | |
| 208000000X | Pediatrics | – | – |
Practice location
12966 Euclid St Ste 340Garden Grove, CA 92840-9205
Phone 714-539-3100
Mailing address
12966 Euclid St Ste 340Garden Grove, CA 92840-9205
Phone 714-539-3100
Authorized official
John Ernsberger
Cmo
7145393100
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