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OC FAMILY MEDICINE PC NPI 1700515731


NPI Information

NPI: 1700515731
Provider Name: OC FAMILY MEDICINE PC

Doing Business As: SOUTH COAST MEDICAL GROUP ORANGE COUNTY

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D2280420

Address:
5 JOURNEY STE 130
ALISO VIEJO, CA
ZIP 92656
Phone: (949) 235-6142
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OC FAMILY MEDICINE PC is a family medicine in Aliso Viejo, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. OC FAMILY MEDICINE PC NPI is 1700515731. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As South Coast Medical Group Orange County.

The provider's business location address is:

5 JOURNEY STE 130
ALISO VIEJO, CA
ZIP 92656-330
Phone: (949) 235-6142

The provider's authorized official is Shannon Michele O'connor .
The authorized official title is Owner/medical Director and has the following contact phone number (949) 235-6142.

The CLIA number assigned to this NPI record is 05D2280420 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/6/2022 and was last updated on 3/26/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes
2261QU0200XClinic/CenterUrgent CareNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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