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Organization
MENS HEALTH AND WELLNESS CENTER USA PC
Active
Organization
MENS HEALTH AND WELLNESS CENTER USA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOAN SIMPSON (DIRECTOR OF COMPLIANCE)
(615) 562-4048
Entity
Organization
Contact information
Practice address
2755 BRISTOL ST, 280, COSTA MESA, CA 92626-5985
(714) 966-5362
(714) 966-5389
Mailing address
23275 S POINTE DR, SUITE 100, LAGUNA HILLS, CA 92653-1474
(714) 966-5352
(714) 966-5389
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C50947
CA
Other
Enumeration date
03/22/2017
Last updated
03/22/2017
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