| NPI | 1215285200 |
|---|---|
| Doing Business As | OC SPORTS AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | SAMUEL SUNSHINE President 949-460-9111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: CA G77348) |
| Enumeration Date | 2012-08-22 |
| Last Update Date | 2018-01-25 |