Oc Pain Doctor Pc

NPI 1205220183 - Preferred Provider Organization - 305R00000X

NPI Details
NPI 1205220183
Enumeration Date 03/27/2015
Last Updated 03/30/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name NANDITA RANI NANDITA
Position DIRECTOR
Phone (714) 669-0399
Fax
Practice Location
1254 IRVINE BLVD
SUITE 150
TUSTIN CA, 92780-3509, US
Phone (714) 669-0399
Fax
Business Location
1254 IRVINE BLVD
SUITE 150
TUSTIN CA, 92780-3509, US
Phone (714) 669-0399
Fax
Toxanomy
Taxonomy Code 305R00000X
License State
License Number
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According to our database, Oc Pain Doctor Pc NPI is 1205220183, taxonomy code is 305R00000X Oc Pain Doctor Pc physically located at 1254 Irvine Blvd, Tustin CA, 92780-3509. NPI Number 1033115704 has the healthcare provider type.

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1205220183 NPI number is provided on an as is basis without warranty of any kind. 1205220183 is maintained by the National Plan & Provider Enumeration System. The contents of Oc Pain Doctor Pc are for informational purposes only.