Organization
AQUAPHIRE INC
Active
Other names
Orange County Skin Lab
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE CATHLEEN HURE M.D. (PRESIDENT)
(949) 359-6400
Entity
Organization
Contact information
Practice address
31899 DEL OBISPO ST, SUITE 130, SAN JUAN CAPISTRANO, CA 92675-3234
(949) 359-6400
Mailing address
31899 DEL OBISPO ST., SUITE 130, SAN JUAN CAPISTRANO, CA 92675
(949) 359-6400
(949) 335-6529
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
A112182
CA
208D00000X
General Practice Physician
A112182
CA
Other
Enumeration date
09/26/2015
Last updated
07/21/2022
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