Organization
OCEAN REGIONAL SURGICAL PODIATRIC GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMENIC SIGNORELLI DPM (AUTHORIZED OFFICIAL)
(949) 218-8185
Entity
Organization
Contact information
Practice address
7108 KATELLA AVE, PMB 400, STANTON, CA 90680-2803
(949) 218-8185
(949) 388-7595
Mailing address
7108 KATELLA AVE, PMB 400, STANTON, CA 90680-2803
(949) 218-8185
(949) 388-7595
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
10/18/2006
Last updated
11/01/2007
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