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Organization
OC FAMILY & INDUSTRIAL PRACTICE
Active
Organization
OC FAMILY & INDUSTRIAL PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CALEB THOMAS PARKER (OFFICE ADMINISTRATOR)
(949) 362-8877
Entity
Organization
Contact information
Practice address
25431 CABOT RD STE 118, LAGUNA HILLS, CA 92653-5527
(949) 362-8877
(949) 362-9230
Mailing address
25431 CABOT RD STE 118, LAGUNA HILLS, CA 92653-5527
(949) 362-8877
(949) 362-9230
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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