Organization
THOROCOR MEDICAL ENTERPRISES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANCEL J. ROGERS M.D. (PRESIDENT)
(951) 367-7600
Entity
Organization
Contact information
Practice address
3903 BROCKTON AVE, SUITE TWO, RIVERSIDE, CA 92501-3212
(951) 367-7600
Mailing address
PO BOX 1475, SAN JUAN CAPISTRANO, CA 92693-1475
(951) 367-7600
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G43151
CA
Other
Enumeration date
08/11/2008
Last updated
08/11/2008
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