Organization
PACIFIC PRIVATE PRACTICE NETWORK INC
Active
Organization
PACIFIC PRIVATE PRACTICE NETWORK INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL A ROVZAR M.D. (CHIEF EXECUTIVE OFFICER)
(949) 291-6521
Entity
Organization
Contact information
Practice address
30230 RANCHO VIEJO RD, SUITE 110, SAN JUAN CAPISTRANO, CA 92675-1557
(949) 441-5681
(949) 629-3716
Mailing address
30230 RANCHO VIEJO RD, SUITE 110, SAN JUAN CAPISTRANO, CA 92675-1557
(949) 441-5681
(949) 629-3716
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
02/27/2015
Last updated
01/05/2022
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