| Orange Coast Family Medical Group Inc. | |
|
15785 Laguna Canyon Rd Suite 390 Irvine CA 92618-3165 | |
| (949) 333-2999 | |
| (949) 387-2002 |
| Full Name | Orange Coast Family Medical Group Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 15785 Laguna Canyon Rd, Irvine, California |
| Authorized Official Name and Position | Kenneth Williams (PRESIDENT) |
| Authorized Official Contact | 9493332999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orange Coast Family Medical Group Inc. 15785 Laguna Canyon Rd Suite 390 Irvine CA 92618-3165 Ph: (949) 333-2999 | Orange Coast Family Medical Group Inc. 15785 Laguna Canyon Rd Suite 390 Irvine CA 92618-3165 Ph: (949) 333-2999 |
| NPI Number | 1679870265 |
|---|---|
| Provider Enumeration Date | 02/17/2011 |
| Last Update Date | 03/16/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679870265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A5021 (California) | Primary |
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