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Organization

OCEAN LIFE MEDICAL GROUP INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LUIS M ORIGEL JR. NP (PRESIDENT/CEO)
(661) 289-1154
Entity
Organization

Contact information

Practice address
18069 W TERRA VERDE PLACE, SANTA CLARITA, CA 91387-1830
(661) 360-7523
(661) 424-7900
Mailing address
18069 W TERRA VERDE PLACE, SANTA CLARITA, CA 91387-1830
(661) 360-7523
(661) 424-7990

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary

Other

Enumeration date
05/21/2019
Last updated
05/21/2019
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