ANAHEIM UROLOGIC MEDICAL GROUP, INC
Medical Practice at La Palma Ave, Anaheim, CA

License number
California G030924
Category
Medical Practice
Type
Specialist
Owner
Name: MR. RICHARD EUGENE WINELAND II M.D.
Title: PRESIDENT
Phone: (714) 776-6456
Address
Address
1211 W La Palma Ave, Anaheim, CA 92801
National Provider ID: 1689685711
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ANAHEIM UROLOGIC MEDICAL GROUP, INC

1211 W Ln Palma STE 307, Anaheim, CA 92801

Industry:
Medical Doctor's Office
Registration:
Feb 13, 1970
Phone:
(714) 635-1191 (Phone)
State ID:
C0591899
Business type:
Articles of Incorporation
President:
Richard E. Wineland (President)
Agent:
Richard E Wineland,Anaheim, CA 92801 (Physical)

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