Organization
PACIFIC CONSULTING GROUP, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOE WOOTEN (OWNER)
(714) 396-1902
Entity
Organization
Contact information
Practice address
477 MORNING CANYON RD, CORONA DEL MAR, CA 92625-2614
(949) 200-9649
Mailing address
477 MORNING CANYON RD, CORONA DEL MAR, CA 92625-2614
(949) 200-9649
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
04/08/2021
Last updated
04/08/2021
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