# CORPORATE PARK WELLNESS CENTER, INC

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

## Provider details

- **NPI number:** 1457954224
- **Authorized official:** JEFF ALLEN FISHER DC (PARTNER AND SHARE HOLDER)
- **Authorized official phone:** (714) 550-0788

## Contact information

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

## 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:** 11/16/2020
- **Last updated:** 11/16/2020