Organization
SOCAL MEDICAL GROUP
Active
Other names
LINK Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
JASON AMSTUTZ DO (CEO)
(949) 722-7070
Entity
Organization
Contact information
Practice address
361 HOSPITAL RD STE 428, NEWPORT BEACH, CA 92663-3525
(949) 722-7070
Mailing address
361 HOSPITAL RD STE 428, NEWPORT BEACH, CA 92663-3525
(949) 465-0770
(949) 220-9103
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A108707
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043277866
DON ROURKE
NY
01
—
1053729293
KENNETH DOBBS
CA
01
—
1184083057
ANDREW ADAMS
CA
01
—
1184929408
MICHAEL HOLLIS
CA
01
—
1306016043
FRANK ACUNIA
CA
Enumeration date
09/22/2011
Last updated
04/03/2019
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