Oc Physicians Group

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A35456 Issued in CA

Legal business name

OC PHYSICIANS GROUP

Practice address

17911 Sky Park Cir
Suite L
Irvine, CA 92614-6322

Phone

(949) 336-4646

NPI assigned

Sep 12, 2012

Last updated

Sep 20, 2012By 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

Dr. Corey Arthur Hollis, D.C.NPI 1295994101

Title

Clinic Director

Phone

(949) 336-4317

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Corey Arthur Hollis, D.C.

  • Rehabilitation Chiropractor
  • Irvine, CA
  • NPI 1295994101
  NPD (past) Authorized official

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348099200000",
    "number": "1912257478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17911 SKY PARK CIR",
            "address_2": "SUITE L",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146322",
            "telephone_number": "949-336-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17911 SKY PARK CIR",
            "address_2": "SUITE L",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146322",
            "telephone_number": "949-336-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OC PHYSICIANS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-12",
        "last_updated": "2012-09-20",
        "status": "A",
        "authorized_official_last_name": "HOLLIS",
        "authorized_official_first_name": "COREY",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "949-336-4317",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A35456",
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "DC21715",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Maria Concepcion Ocampo Brito

• General Practice Physician in Irvine, CA
• Providers in Irvine, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; 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.