Organization
DOCTOR O INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY T OGINO DC (PRESIDENT)
(949) 813-2196
Entity
Organization
Contact information
Practice address
125 BAKER ST E, SUITE 100, COSTA MESA, CA 92626-4509
(949) 813-2196
Mailing address
125 BAKER ST E, SUITE 100, COSTA MESA, CA 92626-4509
(949) 813-2196
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
DC23343
CA
Other
Enumeration date
09/23/2008
Last updated
09/23/2008
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