Individual
IVAN OCCENO PEARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
265 S ANITA DR STE 102-104, ORANGE, CA 92868-3355
(714) 410-3500
(714) 410-3527
Mailing address
265 S ANITA DR STE 102-104, ORANGE, CA 92868-3355
(714) 410-3500
(714) 410-3527
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95249758
CA
Other
Enumeration date
09/23/2021
Last updated
07/23/2025
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