Orange Coast Fyzical
NPI #1215434790 in Laguna Woods, California
Provider Information
- NPI Number
- 1215434790
- Entity Type
- Organization
- Organization Name
- Orange Coast Fyzical
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- ORANGE COAST HEAD AND NECK SURGERY
- Primary Specialty
- Physical Medicine & Rehabilitation
- Enumeration Date
- Apr 10, 2018
- Last Updated
- Apr 10, 2018
Practice Location
- Address
- 24361 EL TORO RD STE 140
- City
- Laguna Woods
- State
- California
- ZIP Code
- 92637-8898
- Phone
- (949) 715-0500
Authorized Official
- Name
- DR. ROBERT PETTIS, MD
- Title
- CO-OWNER
- Phone
- (949) 715-0500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Medicine & Rehabilitation |
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