SENIOR DOC ILLINOIS PC

ORANGE, CA
NPI1407621501
Entity TypeOrganization
Authorized ContactJOHN M GEISS
CEO
855-434-7763
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2023-11-17
Last Update Date2023-11-17
Business Address
SENIOR DOC ILLINOIS PC
2592 N SANTIAGO BLVD
ORANGE, CA 92867-1862
Phone number: 855-434-7763
Mailing Address
SENIOR DOC ILLINOIS PC
2592 N SANTIAGO BLVD
ORANGE, CA 92867-1862
Phone number: 855-434-7763