Organization
OC TRAUMA INC
Active
Parent organization
SOUTH ORANGE COUNTY SURGICAL MEDICAL GROUP, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTH ORANGE COUNTY SURGICAL MEDICAL GROUP, 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
(949) 588-8719
Mailing address
26732 CROWN VALLEY PKWY STE 440, MISSION VIEJO, CA 92691-6306
(949) 364-1007
(949) 588-8719
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB281893
PTAN
CA
Enumeration date
05/23/2017
Last updated
02/09/2026
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