# OC BACK DOCTORS INC

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

## Provider details

- **NPI number:** 1366984247
- **Authorized official:** DR. ROBERT D HIDALGO JR. M.D (OWNER)
- **Authorized official phone:** (714) 397-5029

## Contact information

- **Practice address:** 17264 RED HILL, IRVINE, CA 92614
- **Practice address phone:** (949) 724-0011
- **Practice address fax:** (949) 724-0012
- **Mailing address:** 17264 RED HILL AVE, IRVINE, CA 92614
- **Mailing address phone:** (949) 724-0011
- **Mailing address fax:** (949) 724-0012

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | G072815 | CA | Yes |

## Other

- **Enumeration date:** 11/09/2016
- **Last updated:** 11/09/2016