Individual
AUDREY KATE ROCCO-WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
30300 CAMINO CAPISTRANO, SAN JUAN CAPISTRANO, CA 92675-1304
(949) 240-2030
(949) 240-5869
Mailing address
26800 CROWN VALLEY PKWY STE 150, MISSION VIEJO, CA 92691-8018
(949) 276-2111
(949) 276-2116
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G65998
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G65998
CALOPTIMA
CA
01
—
00G659980
MEDICAL
CA
Enumeration date
03/13/2007
Last updated
12/03/2019
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