SENIOR DOC INDIANA, PC

ORANGE, CA
NPI1710748397
Entity TypeOrganization
Authorized ContactANGELICA LEYLA SOTO
Credentialing Specialist
855-434-7763
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2024-01-19
Last Update Date2024-01-19
Business Address
SENIOR DOC INDIANA, PC
2592 N SANTIAGO BLVD
ORANGE, CA 92867-1862
Phone number: 855-434-7763
Mailing Address
SENIOR DOC INDIANA, PC
2592 N SANTIAGO BLVD
ORANGE, CA 92867-1862
Phone number: 855-434-7763