Provider Demographics
NPI:1225324932
Name:ORANGE COUNTY PHYSICIANS IPA MEDICAL GROUP, INC.
Entity Type:Organization
Organization Name:ORANGE COUNTY PHYSICIANS IPA MEDICAL GROUP, INC.
Other - Org Name:NOBLE COMMUNITY MEDICAL ASSOCIATES, INC. OF MID-ORANGE COUNTY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JACOB
Authorized Official - Middle Name:
Authorized Official - Last Name:SWEIDAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-947-8600
Mailing Address - Street 1:P.O. BOX 6300
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:CA
Mailing Address - Zip Code:90630-0063
Mailing Address - Country:US
Mailing Address - Phone:714-947-8600
Mailing Address - Fax:714-947-8799
Practice Address - Street 1:5785 CORPORATE AVE.
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:CA
Practice Address - Zip Code:90630-4726
Practice Address - Country:US
Practice Address - Phone:714-947-8600
Practice Address - Fax:714-947-8799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-21
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No302R00000XManaged Care OrganizationsHealth Maintenance OrganizationGroup - Multi-Specialty