FULLERTON ORTHOPAEDIC SURGERY MEDICAL GROUP, INC.
Medical Practice at Goldenwest St, Huntington Beach, CA

License number
California 20A9973
Category
Medical Practice
Type
Specialist
Owner
Name: KENDALL WAGNER
Title: PRESIDENT
Phone: (714) 879-0050
Address
Address 2
15039 Goldenwest St, Huntington Beach, CA 92647
101 Laguna Rd STE A, Fullerton, CA 92835
National Provider ID: 1174802433
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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FULLERTON ORTHOPAEDIC SURGERY MEDICAL GROUP, INC

101 Laguna Rd SUITE A, Fullerton, CA 92835

Registration:
Jun 17, 1974
State ID:
C0716464
Business type:
Articles of Incorporation
Presidents:
Michael P. Rubenstein (President),Steward L. Shanfield President, inactive,Kendall S. Wagner President, inactive,...
Agent:
Michael P. Rubenstein, M.d,Fullerton, CA 92835 (Physical)

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