| Oc Pain And Supportive Care Professional Nursing Corporation | |
|
1310 W Stewart Dr Ste 602 Orange CA 92868-3857 | |
| (949) 439-9327 | |
| Not Available |
| Full Name | Oc Pain And Supportive Care Professional Nursing Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 1310 W Stewart Dr Ste 602, Orange, California |
| Authorized Official Name and Position | Rosemary Le (PRESIDENT) |
| Authorized Official Contact | 9494399327 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oc Pain And Supportive Care Professional Nursing Corporation 17662 Anglin Ln Tustin CA 92780-1902 Ph: (949) 439-9327 | Oc Pain And Supportive Care Professional Nursing Corporation 1310 W Stewart Dr Ste 602 Orange CA 92868-3857 Ph: (949) 439-9327 |
| NPI Number | 1972281368 |
|---|---|
| Provider Enumeration Date | 07/06/2023 |
| Last Update Date | 10/09/2023 |
| Medicare PECOS PAC ID | 0840652947 |
|---|---|
| Medicare Enrollment ID | O20230821002652 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972281368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | Rosemary N Le |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962545707 PECOS PAC ID: 9931206968 Enrollment ID: I20070525000227 |
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