Provider Demographics
NPI:1265816367
Name:CITY OF ORANGE PHYSICAL MEDICINE GROUP INC
Entity Type:Organization
Organization Name:CITY OF ORANGE PHYSICAL MEDICINE GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:J
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:714-532-2827
Mailing Address - Street 1:2832 E CHAPMAN AVE
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92869-3211
Mailing Address - Country:US
Mailing Address - Phone:714-532-2827
Mailing Address - Fax:714-532-2917
Practice Address - Street 1:2832 E CHAPMAN AVE
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92869-3211
Practice Address - Country:US
Practice Address - Phone:714-532-2827
Practice Address - Fax:714-532-2917
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-17
Last Update Date:2015-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty