Medical Healing Center
NPI #1831302272 in Lake Forest, California
Provider Information
- NPI Number
- 1831302272
- Entity Type
- Organization
- Organization Name
- Medical Healing Center
- Primary Specialty
- Specialist
- Enumeration Date
- May 8, 2007
- Last Updated
- Jun 17, 2008
Practice Location
- Address
- 23361 EL TORO RD STE 106
- City
- Lake Forest
- State
- California
- ZIP Code
- 92630-4810
- Phone
- (949) 855-8119
Authorized Official
- Name
- MR. JOE MATTHEW HERCENKO
- Title
- BILLER
- Phone
- (949) 855-8119
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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