1386335875 NPI number — THE PRACTICE OC, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1386335875 NPI number — THE PRACTICE OC, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE PRACTICE OC, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1386335875
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/16/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
30672 PASEO DEL NIGUEL
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LAGUNA NIGUEL
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92677-2341
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
30672 PASEO DEL NIGUEL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAGUNA NIGUEL
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92677-2341
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
949-464-4147
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/16/2023

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SUZMEYAN
Authorized Official First Name:
SHAHAN
Authorized Official Middle Name:
Authorized Official Title or Position:
COMPLIANCE
Authorized Official Telephone Number:
213-924-6442

Provider Taxonomy Codes

  • Taxonomy code: 261QR0405X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)