Organization
ORANGE COAST HEAD AND NECK SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA RENTERIA (OFFICE MANAGER)
(949) 715-0500
Entity
Organization
Contact information
Practice address
16100 SAND CANYON AVE, STE 310, IRVINE, CA 92618-3716
(949) 715-0500
(949) 715-0503
Mailing address
16100 SAND CANYON AVE, STE 310, IRVINE, CA 92618-3716
(949) 715-0500
(949) 715-0503
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
W20172
CA
Other
Enumeration date
05/19/2014
Last updated
05/19/2014
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