OC TRAUMA INC NPI 1720516628

NPI Information

  • NPI: 1720516628
  • Provider Name: OC TRAUMA INC
  • Classification: Surgery - 2086S0127X
  • Specialization: Trauma Surgery
  • Entity Type: Organization
  • Address: 26732 CROWN VALLEY PKWY STE 351
    MISSION VIEJO, CA
    ZIP 92691
  • Phone: (949) 364-1007

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NPI Details

OC TRAUMA INC is a trauma surgery surgery in Mission Viejo, CA. The provider is trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. OC TRAUMA INC NPI is 1720516628. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

26732 CROWN VALLEY PKWY STE 351
MISSION VIEJO, CA
ZIP 92691-374
Phone: (949) 364-1007
Fax: (949) 588-8719

The provider's authorized official is William Wallace .
The authorized official title is Ceo and has the following contact phone number (949) 457-7900.

The enumeration date for this NPI number is 5/23/2017 and was last updated on 7/21/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0127XSurgeryTrauma SurgeryYes

What is NPI?

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This page was last updated on: 3/30/2025

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