NPI 1376997411
Socal Medical Services LLC
Practice location
- Address
- 1500 S Anaheim Blvd Suite 160, Anaheim, CA 92805-6242
- Phone
- (657) 999-5679
Authorised official
- Name
- Jason Aaron Walter David
- Title
- Member
- Phone
- (657) 999-5679
Registered specialties
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
Registry record
- NPI
- 1376997411
- Entity type
- Organization
- NPI issued
- 14 Apr 2016
- Record last updated
- 14 Apr 2016
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.