| Corporate Park Wellness Center, Inc | |
|
43 Corporate Park Ste 204 Irvine CA 92606-5137 | |
| (714) 550-0788 | |
| (714) 550-6001 |
| Full Name | Corporate Park Wellness Center, Inc |
|---|---|
| Speciality | Family Medicine - Sports Medicine |
| Location | 43 Corporate Park Ste 204, Irvine, California |
| Authorized Official Name and Position | Jeff Allen Fisher (PARTNER AND SHARE HOLDER) |
| Authorized Official Contact | 7145500788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Corporate Park Wellness Center, Inc 43 Corporate Park Ste 204 Irvine CA 92606-5137 Ph: (714) 550-0788 | Corporate Park Wellness Center, Inc 43 Corporate Park Ste 204 Irvine CA 92606-5137 Ph: (714) 550-0788 |
| NPI Number | 1457954224 |
|---|---|
| Provider Enumeration Date | 11/16/2020 |
| Last Update Date | 11/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457954224 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Primary |
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