Organization
PROSPICE MEDICAL CENTERS
Active
Organization
PROSPICE MEDICAL CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUTHI TORRES (VP/CHIEF OPERATIONS OFFICER)
(949) 825-6416
Entity
Organization
Contact information
Practice address
14742 NEWPORT AVENUE, SUITE 203, TUSTIN, CA 92780-6177
(949) 825-6416
(951) 537-6931
Mailing address
PO BOX 25551, SANTA ANA, CA 92799-5551
(949) 825-6416
(951) 537-6931
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/09/2009
Last updated
07/03/2019
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