| NPI | 1629500665 |
|---|---|
| Doing Business As | OC MEDICAL TUSTIN |
| Entity Type | Organization |
| Authorized Contact | ARTURO PORTALES Owner 714-442-6642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207QA0401X Family Medicine, Addiction Medicine | |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2017-03-30 |