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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