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Organization

OASIS MEDICAL PROVIDERS, INC

Active
Other names
MEDICAL MANAGEMENT OF LAGUNA NIGUEL
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEFFREY D GROSS MD (PRESIDENT)
(714) 378-1100
Entity
Organization

Contact information

Practice address
27882 FORBES RD, LAGUNA NIGUEL, CA 92677-1267
(949) 364-6333
Mailing address
2701 HARBOR BLVD, E2 #214, COSTA MESA, CA 92626
(714) 378-1100

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
DC24717
CA
207X00000X
Orthopaedic Surgery Physician
Primary
G84446
CA

Other

Enumeration date
08/25/2008
Last updated
08/25/2008
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