Centoc Medical Group Inc

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

CENTOC MEDICAL GROUP INC

Practice address

1201 W la Veta Ave
Suite 604
Orange, CA 92868-4213

Phone

(714) 633-4020

Fax

(714) 633-4846

NPI assigned

Dec 11, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Roberto Barretto, MD

Title

President

Phone

(714) 633-4020

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hau Sin Wong, MD

  • Otolaryngology Physician
  • Harbor City, CA
  • NPI 1467526350
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187568000000",
    "number": "1356401160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27401 LOS ALTOS",
            "address_2": "SUITE 180",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916316",
            "telephone_number": "949-582-9624",
            "fax_number": "949-582-9626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 W LA VETA AVE",
            "address_2": "SUITE 604",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684213",
            "telephone_number": "714-633-4020",
            "fax_number": "714-633-4846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTOC MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-08-20",
        "status": "A",
        "authorized_official_last_name": "BARRETTO",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-633-4020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0103190",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Weilu Cen
• Alexander Centala
• Center for Cancer and Blood Disorders
• Center for Comprehensive Care & Diagnosis of Inherited Blood Disorders
• Center for Comprehensive Care & Diagnosis of Inherited Blood Disorders
• Alexis Cercena
• Christian Cruz Cerda
• Claudia Ibeth Cerda
• Selene Z. Cerezo
• Josue N/a Cerna, NONE

• Otolaryngology Physician in Orange, CA
• Providers in Orange, CA by specialty
• Otolaryngology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.