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Organization
SOUTH COAST SPINE AND WELLNESS INC
Active
Organization
SOUTH COAST SPINE AND WELLNESS INC
Active
Other names
OC Family Medicine and Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTORIA CUPIC M.D. (VICE PRESIDENT)
(949) 488-9600
Entity
Organization
Contact information
Practice address
26841 CALLE HERMOSA, SUITE A, CAPISTRANO BEACH, CA 92624-1674
(949) 488-9600
(949) 488-9601
Mailing address
26841 CALLE HERMOSA, SUITE A, CAPISTRANO BEACH, CA 92624-1674
(949) 488-9600
(949) 488-9601
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
—
NULL
111NS0005X
Sports Physician Chiropractor
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/24/2012
Last updated
02/28/2012
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