# SOCAL MEDICAL SPECIALIST MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114398617
- **Authorized official:** DR. PERRY ROBERT SECOR M.D. (PRESIDENT)
- **Authorized official phone:** (562) 314-1400

## Contact information

- **Practice address:** 3851 KATELLA AVE, SUITE 150, LOS ALAMITOS, CA 90720-3309
- **Practice address phone:** (562) 314-1400
- **Mailing address:** 11974 RED HILL AVE, SANTA ANA, CA 92705-3106
- **Mailing address phone:** (562) 314-1400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | G48048 | CA | Yes |

## Other

- **Enumeration date:** 10/12/2015
- **Last updated:** 10/12/2015