Organization
CORPORATE PARK WELLNESS CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF ALLEN FISHER DC (PARTNER AND SHARE HOLDER)
(714) 550-0788
Entity
Organization
Contact information
Practice address
43 CORPORATE PARK STE 204, IRVINE, CA 92606-5137
(714) 550-0788
(714) 550-6001
Mailing address
43 CORPORATE PARK STE 204, IRVINE, CA 92606-5137
(714) 550-0788
(714) 550-6001
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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