Senior Doc Wyoming, P.c.
NPI #1003666215 in Orange, California
Provider Information
- NPI Number
- 1003666215
- Entity Type
- Organization
- Organization Name
- Senior Doc Wyoming, P.c.
- Primary Specialty
- Family Medicine
- Enumeration Date
- Mar 22, 2024
- Last Updated
- Mar 22, 2024
Practice Location
- Address
- 2592 N SANTIAGO BLVD
- City
- Orange
- State
- California
- ZIP Code
- 92867-1862
- Phone
- (855) 434-7763
Authorized Official
- Name
- ANGELICA LEYLA SOTO
- Title
- CREDENTIALING SPECIALIST
- Phone
- (855) 434-7763
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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