Organization
GREGORY C DI ROCCO, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AVA BULLOCK (BILLING MANAGER)
(949) 547-0292
Entity
Organization
Contact information
Practice address
320 SUPERIOR AVE, 230, NEWPORT BEACH, CA 92663-2716
(949) 547-0292
(949) 631-1178
Mailing address
PO BOX 1204, CORONA DEL MAR, CA 92625-6204
(949) 547-0292
(949) 631-1178
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
00G449510
CA
Other
Enumeration date
03/09/2007
Last updated
12/27/2011
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