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Organization
OC OROFACIAL MYOLOGY, INC.
Active
Organization
OC OROFACIAL MYOLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA SARAH BECK MA, CCC-SLP, OMT (OWNER)
(949) 365-5858
Entity
Organization
Contact information
Practice address
30131 TOWN CENTER DR STE 295, LAGUNA NIGUEL, CA 92677-2086
(949) 365-5858
Mailing address
30131 TOWN CENTER DR STE 295, LAGUNA NIGUEL, CA 92677-2086
(949) 365-5858
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528264843
TYPE 1 NPI
CA
Enumeration date
02/21/2021
Last updated
02/21/2021
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