NPI 1205220183

Oc Pain Doctor PC

Organisation Preferred Provider Organization Tustin, CA

Practice location

Address: 1254 Irvine Blvd Suite 150, Tustin, CA 92780-3509
Phone: (714) 669-0399

Authorised official

Name: Nandita Rani Kakar
Title: Director
Phone: (714) 669-0399

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

Other Preferred Provider Organization providers in California →

Registry record

NPI: 1205220183
Entity type: Organization
NPI issued: 27 Mar 2015
Record last updated: 30 Mar 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.