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Organization
MEDICAL HEALING CENTER
Active
Organization
MEDICAL HEALING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOE MATTHEW HERCENKO (BILLER)
(949) 855-8119
Entity
Organization
Contact information
Practice address
23361 EL TORO RD STE 106, LAKE FOREST, CA 92630-4810
(949) 855-8119
(949) 855-6328
Mailing address
23361 EL TORO RD STE 106, LAKE FOREST, CA 92630-4810
(949) 855-8119
(949) 855-6328
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5374
CA
Other
Enumeration date
05/08/2007
Last updated
06/17/2008
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