Organization
MSO, INC. OF SOUTHERN CALIFORNIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAN PHAN (CEO)
(818) 399-8996
Entity
Organization
Contact information
Practice address
17622 ARMSTRONG AVE, IRVINE, CA 92614-5728
(626) 656-2370
(866) 627-3093
Mailing address
17622 ARMSTRONG AVE, IRVINE, CA 92614-5728
(626) 656-2370
(866) 627-3093
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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