| Oc Physicians Group | |
|
17911 Sky Park Cir Suite L Irvine CA 92614-6322 | |
| (949) 336-4646 | |
| Not Available |
| Full Name | Oc Physicians Group |
|---|---|
| Speciality | General Practice |
| Location | 17911 Sky Park Cir, Irvine, California |
| Authorized Official Name and Position | Corey Arthur Hollis (CLINIC DIRECTOR) |
| Authorized Official Contact | 9493364317 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oc Physicians Group 17911 Sky Park Cir Suite L Irvine CA 92614-6322 Ph: (949) 336-4646 | Oc Physicians Group 17911 Sky Park Cir Suite L Irvine CA 92614-6322 Ph: (949) 336-4646 |
| NPI Number | 1912257478 |
|---|---|
| Provider Enumeration Date | 09/12/2012 |
| Last Update Date | 09/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912257478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A35456 (California) | Primary |
| 111NR0400X | Chiropractor - Rehabilitation | DC21715 (California) | Secondary |
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