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Organization
MCL HEALTH MANAGEMENT
Active
Organization
MCL HEALTH MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL C LUCIANO M.D. (PRESIDENT)
(714) 547-4070
Entity
Organization
Contact information
Practice address
1310 W STEWART DR, STE. 507, ORANGE, CA 92868-3854
(714) 547-4070
(714) 751-4619
Mailing address
P.O. BOX 10340, SANTA ANA, CA 92711-0340
(714) 547-4070
(714) 751-4619
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A33713
CA
174400000X
Specialist
PSY4309
CA
Other
Enumeration date
01/26/2007
Last updated
02/02/2010
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