Organization
SOCAL MEDICAL SPECIALIST MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PERRY ROBERT SECOR M.D. (PRESIDENT)
(562) 314-1400
Entity
Organization
Contact information
Practice address
3851 KATELLA AVE, SUITE 150, LOS ALAMITOS, CA 90720-3309
(562) 314-1400
Mailing address
11974 RED HILL AVE, SANTA ANA, CA 92705-3106
(562) 314-1400
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G48048
CA
Other
Enumeration date
10/12/2015
Last updated
10/12/2015
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