Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Champion Medical Group, a Medical Corporation

Organization Non-Pharmacy Dispensing Site · NPI 1386935716

Champion Medical Group, a Medical Corporation is a Non-Pharmacy Dispensing Site in Santa Ana, California. Registered with an NPI since 2011.

In the registry since
2011

Practice location Address checks out

1206 E 17th St Ste 106
Santa Ana, CA 92701-2641
Phone: (714) 210-8848
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X

Record details

NPI number1386935716
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationChampion Medical Group, a Medical Corporation
Authorized official Herbert Marshak — Medical Director · (714) 210-8848
NPI enumeratedApril 19, 2011
Last updated in NPPESOctober 5, 2015
Mailing address2980 N Beverly Glen Cir, Ste 100, Los Angeles, CA 90077-1726

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