| Oc Breast Wellness Llc | |
|
11770 Warner Ave Ste 112 Fountain Valley CA 92708-2659 | |
| (714) 363-5595 | |
| Not Available |
| Full Name | Oc Breast Wellness Llc |
|---|---|
| Speciality | Psychologist - Exercise & Sports |
| Location | 11770 Warner Ave Ste 112, Fountain Valley, California |
| Authorized Official Name and Position | Janice Salmon (DIRECTOR) |
| Authorized Official Contact | 7147175334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oc Breast Wellness Llc 11770 Warner Ave Ste 112 Fountain Valley CA 92708-2659 Ph: (714) 363-5595 | Oc Breast Wellness Llc 11770 Warner Ave Ste 112 Fountain Valley CA 92708-2659 Ph: (714) 363-5595 |
| NPI Number | 1326774340 |
|---|---|
| Provider Enumeration Date | 08/01/2022 |
| Last Update Date | 08/01/2022 |
| Certification Date | 08/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326774340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TE1100X | Psychologist - Exercise & Sports | (* (Not Available)) | Primary |
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