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Organization
NATIONWIDE HEALTHCARE PROVIDER CORP
Active
Organization
NATIONWIDE HEALTHCARE PROVIDER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN HILTON (OWNER)
(305) 332-0669
Entity
Organization
Contact information
Practice address
20505 CRESCENT BAY DR, LAKE FOREST, CA 92630-8825
(949) 505-4313
Mailing address
20505 CRESCENT BAY DR, LAKE FOREST, CA 92630-8825
Taxonomy
Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
Primary
—
NULL
202C00000X
Independent Medical Examiner Physician
Primary
—
—
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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