The Breast Care Center of Orange County, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G58036 Issued in CA

Legal business name

THE BREAST CARE CENTER OF ORANGE COUNTY, INC.

Practice address

230 S Main St
Suite 100
Orange, CA 92868-3851

Phone

(714) 541-0101

Fax

(714) 619-3322

NPI assigned

Aug 30, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paul Herman Coluzzi, M.D.

Title

Owner/Managing Partner

Phone

(714) 541-0101

Specialties & licenses 1

Addresses

Other names 1

• The Breast Care Center/The Oncology Center Other name

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437269354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 S MAIN ST",
            "address_2": "SUITE 100",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683851",
            "telephone_number": "714-541-0101",
            "fax_number": "714-619-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 S MAIN ST",
            "address_2": "SUITE 100",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683851",
            "telephone_number": "714-541-0101",
            "fax_number": "714-619-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BREAST CARE CENTER OF ORANGE COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLUZZI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "HERMAN",
        "authorized_official_title_or_position": "OWNER/MANAGING PARTNER",
        "authorized_official_telephone_number": "714-541-0101",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G58036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Breast Care Center/The Oncology Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Specialist in Orange, CA
• Providers in Orange, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.