Provider Demographics
NPI:1639520885
Name:ORANGE GOLD MEDICAL
Entity Type:Organization
Organization Name:ORANGE GOLD MEDICAL
Other - Org Name:ORANGE COUNTY MULTISPECIALTY CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:DR
Authorized Official - First Name:RON
Authorized Official - Middle Name:Y
Authorized Official - Last Name:GOLDSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-289-5490
Mailing Address - Street 1:3000 W MACARTHUR BLVD
Mailing Address - Street 2:600B
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92704-6916
Mailing Address - Country:US
Mailing Address - Phone:714-564-8210
Mailing Address - Fax:
Practice Address - Street 1:3000 W MACARTHUR BLVD
Practice Address - Street 2:600B
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92704-6916
Practice Address - Country:US
Practice Address - Phone:714-564-8210
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ORANGE GOLD MEDICAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-06-29
Last Update Date:2016-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG79669208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty