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Organization
PACIFIC OAKS MEDICAL GROUP & SUBSIDIARY
Active
Organization
PACIFIC OAKS MEDICAL GROUP & SUBSIDIARY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT SCOTT LOITMAN (CONTROLLER)
(310) 652-2562
Entity
Organization
Contact information
Practice address
3140 RED HILL AVE STE 120, COSTA MESA, CA 92626-3400
(949) 263-1242
Mailing address
150 N ROBERTSON BLVD STE 300, BEVERLY HILLS, CA 90211-2145
(310) 652-2562
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
05/18/2018
Last updated
07/08/2019
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