Organization
OC BACK DOCTORS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT D HIDALGO JR. M.D (OWNER)
(714) 397-5029
Entity
Organization
Contact information
Practice address
17264 RED HILL, IRVINE, CA 92614
(949) 724-0011
(949) 724-0012
Mailing address
17264 RED HILL AVE, IRVINE, CA 92614
(949) 724-0011
(949) 724-0012
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
G072815
CA
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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