Organization
JOHN WITCZAK, DO, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WITCZAK D.O. (CEO PRESIDENT)
(949) 348-2250
Entity
Organization
Contact information
Practice address
26921 CROWN VALLEY PKWY, SUITE 201, MISSION VIEJO, CA 92691-6501
(949) 348-2250
(949) 348-8904
Mailing address
26921 CROWN VALLEY PKWY, SUITE 201, MISSION VIEJO, CA 92691-6501
(949) 348-2250
(949) 348-8904
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
20A4682
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A4682
LICENSE
CA
Enumeration date
10/02/2006
Last updated
08/22/2020
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