Organization
SOUTH COUNTY HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL ROBERT ADDISON P.T. (VICE PRESIDENT)
(949) 388-3131
Entity
Organization
Contact information
Practice address
125 COLUMBIA, A, ALISO VIEJO, CA 92656-4101
(949) 388-3131
(949) 429-0623
Mailing address
125 COLUMBIA, A, ALISO VIEJO, CA 92656-4101
(949) 388-3131
(949) 429-0623
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
20A6613
CA
Other
Enumeration date
09/30/2015
Last updated
09/30/2015
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