Organization
THE PRACTICE OC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAHAN SUZMEYAN (COMPLIANCE)
(213) 924-6442
Entity
Organization
Contact information
Practice address
30672 PASEO DEL NIGUEL, LAGUNA NIGUEL, CA 92677-2341
(949) 464-4147
Mailing address
30672 PASEO DEL NIGUEL, LAGUNA NIGUEL, CA 92677-2341
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
05/16/2023
Last updated
05/16/2023
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