# RESTORATION HEALTHCARE INC

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

## Provider details

- **NPI number:** 1275931800
- **Authorized official:** MARY S RALEIGH DO (PRESIDENT)
- **Authorized official phone:** (949) 535-2322

## Contact information

- **Practice address:** 18818 TELLER AVE, SUITE 170, IRVINE, CA 92612-1678
- **Practice address phone:** (949) 535-2322
- **Mailing address:** 18818 TELLER AVE, SUITE 170, IRVINE, CA 92612-1678
- **Mailing address phone:** (949) 535-2322

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/14/2014
- **Last updated:** 02/26/2024