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Organization
HEALING LIFE OC PC
Active
Organization
HEALING LIFE OC PC
Active
Other names
EZCare Clinic Orange County
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEANETTE RAE PONCE MD (C.E.O./PRESIDENT)
(714) 804-5444
Entity
Organization
Contact information
Practice address
2112 E 4TH ST STE 100, SANTA ANA, CA 92705-3849
(714) 804-5444
(714) 795-2992
Mailing address
2112 E 4TH ST STE 100, SANTA ANA, CA 92705-3849
(714) 804-5444
(714) 795-2992
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/05/2018
Last updated
12/05/2018
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