Organization
OC PHYSICIANS GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COREY ARTHUR HOLLIS D.C. (CLINIC DIRECTOR)
(949) 336-4317
Entity
Organization
Contact information
Practice address
17911 SKY PARK CIR, SUITE L, IRVINE, CA 92614-6322
(949) 336-4646
Mailing address
17911 SKY PARK CIR, SUITE L, IRVINE, CA 92614-6322
(949) 336-4646
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
DC21715
CA
208D00000X
General Practice Physician
Primary
A35456
CA
Other
Enumeration date
09/12/2012
Last updated
09/20/2012
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