Organization
PACIFIC PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY DAVID HEBERT (COO / OWNER)
(949) 951-1234
Entity
Organization
Contact information
Practice address
27725 SANTA MARGARITA PKWY, SUITE 221, MISSION VIEJO, CA 92691-6704
(949) 951-1234
Mailing address
27725 SANTA MARGARITA PKWY, SUITE 221, MISSION VIEJO, CA 92691-6704
(949) 951-1234
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
08/07/2007
Last updated
08/07/2007
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