Organization
ADVANCE OC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TORHON MAURICE BARNES MSW (DIRECTOR)
(949) 229-0593
Entity
Organization
Contact information
Practice address
17621 IRVINE BLVD STE 212, TUSTIN, CA 92780-3131
(949) 229-0593
Mailing address
31726 RANCHO VIEJO RD STE 101, SAN JUAN CAPISTRANO, CA 92675-2723
(949) 229-0593
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
12/10/2024
Last updated
12/10/2024
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