Intecore Inc

NPI 1215104070 - Clinic/Center - 261QP2000X

NPI Details
NPI 1215104070
Enumeration Date 05/12/2008
Last Updated 05/12/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name MARTIN ANDREW MARTIN
Position OWNER
Phone (949) 597-2103
Fax
Practice Location
26741 PORTOLA PKWY # 1E-630
FOOTHILL RANCH CA, 92610-1743, US
Phone (949) 597-2103
Fax
Business Location
5 JOURNEY STE 100
ALISO VIEJO CA, 92656-5330, US
Phone (949) 716-4548
Fax
Toxanomy
Taxonomy Code 261QP2000X
License State California
License Number PT21687
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According to our database, Intecore Inc NPI is 1215104070, taxonomy code is 261QP2000X and license number is PT21687, license state is located at California. Intecore Inc physically located at 26741 Portola Pkwy # 1e-630, Foothill Ranch CA, 92610-1743. NPI Number 1033115704 has the healthcare provider type.

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1215104070 NPI number is provided on an as is basis without warranty of any kind. 1215104070 is maintained by the National Plan & Provider Enumeration System. The contents of Intecore Inc are for informational purposes only.