1750324554 NPI number — ORANGE COUNTY PHYSICIANS HEARING SERVICES 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 1750324554 NPI number — ORANGE COUNTY PHYSICIANS HEARING SERVICES INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ORANGE COUNTY PHYSICIANS HEARING SERVICES 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:
1750324554
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/06/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
26726 CROWN VALLEY PKWY
Provider Second Line Business Mailing Address:
#210
Provider Business Mailing Address City Name:
MISSION VIEJO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92691-6364
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
949-364-4361
Provider Business Mailing Address Fax Number:
949-364-4495

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
26726 CROWN VALLEY PKWY
Provider Second Line Business Practice Location Address:
#210
Provider Business Practice Location Address City Name:
MISSION VIEJO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92691-6364
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
949-364-4361
Provider Business Practice Location Address Fax Number:
949-364-4495
Provider Enumeration Date:
06/13/2006

Additional Information

Authorized Official

Authorized Official Last Name:
COLEMAN
Authorized Official First Name:
JOHN
Authorized Official Middle Name:
RAYMOND
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
949-364-4361

Provider Taxonomy Codes

  • Taxonomy code: 231H00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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