Organization
PACIFIC MEDICAL AND WELLNESS GROUP INC
Active
Organization
PACIFIC MEDICAL AND WELLNESS GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY EBERHART DC (VICE PRESIDENT)
(949) 724-1800
Entity
Organization
Contact information
Practice address
3300 IRVINE AVE SUITE 307, NEWPORT BEACH, CA 92660
(949) 724-1800
Mailing address
3300 IRVINE AVE SUITE 307, NEWPORT BEACH, CA 92660
(949) 724-1800
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
DC26382
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
A64951
CA
Other
Enumeration date
02/12/2015
Last updated
02/12/2015
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