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Organization

CORPORATE PARK WELLNESS CENTER, INC

Active
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Organization

CORPORATE PARK WELLNESS CENTER, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEFF ALLEN FISHER DC (PARTNER AND SHARE HOLDER)
(714) 550-0788
Entity
Organization

Contact information

Practice address
43 CORPORATE PARK STE 204, IRVINE, CA 92606-5137
(714) 550-0788
(714) 550-6001
Mailing address
43 CORPORATE PARK STE 204, IRVINE, CA 92606-5137
(714) 550-0788
(714) 550-6001

Taxonomy

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

Other

Enumeration date
11/16/2020
Last updated
11/16/2020
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