| Ic Oriental Clinic | |
|
1327 E Katella Ave Orange CA 92867 | |
| (714) 771-3127 | |
| (714) 406-2817 |
| Full Name | Ic Oriental Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 1327 E Katella Ave, Orange, California |
| Authorized Official Name and Position | Seon Ho Song (CLINIC DIRECTOR) |
| Authorized Official Contact | 7147713127 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ic Oriental Clinic 1327 E Katella Ave Orange CA 92867 Ph: (714) 771-3127 | Ic Oriental Clinic 1327 E Katella Ave Orange CA 92867 Ph: (714) 771-3127 |
| NPI Number | 1356746325 |
|---|---|
| Provider Enumeration Date | 11/03/2014 |
| Last Update Date | 07/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356746325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | AC15886 (California) | Primary |
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