Individual
MR. GEORGE SIEGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
1600 W COAST HWY STE G, NEWPORT BEACH, CA 92663-5000
(949) 650-0456
(949) 650-0921
Mailing address
481 E 19TH ST, COSTA MESA, CA 92627-2313
(949) 650-0456
(949) 650-0921
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6791
CA
Other
Enumeration date
01/16/2006
Last updated
08/18/2024
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