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Organization

OC GENERAL SURGERY INC

Active
Parent organization
OC TRAUMA INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
OC TRAUMA INC
Authorized official
DR. WILLIAM CAMPBELL WALLACE MD (CEO)
(949) 457-7913
Entity
Organization

Contact information

Practice address
26732 CROWN VALLEY PKWY STE 440, MISSION VIEJO, CA 92691-6306
(949) 364-1007
Mailing address
26732 CROWN VALLEY PKWY STE 440, MISSION VIEJO, CA 92691-6306
(949) 364-1007

Taxonomy

Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
2086S0129X
Vascular Surgery Physician

Other

Enumeration date
11/21/2017
Last updated
02/09/2026
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