Organization
CENTOC MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERTO BARRETTO MD (PRESIDENT)
(714) 633-4020
Entity
Organization
Contact information
Practice address
1201 W LA VETA AVE, SUITE 604, ORANGE, CA 92868-4213
(714) 633-4020
(714) 633-4846
Mailing address
27401 LOS ALTOS, SUITE 180, MISSION VIEJO, CA 92691-6316
(949) 582-9624
(949) 582-9626
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0103190
—
CA
Enumeration date
12/11/2006
Last updated
08/20/2007
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