| Organization Name: | ONE STOP MULTI SPECIALTY MEDICAL GROUP AND THERAPY |
| NPI Number: | 1053657080 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EDUARDO ANGUIZOLA (OWNER) |
| Mailing Address: | 575 Anton Blvd Fl 3 Costa Mesa |
| State: | CA US |
| Postal Code: | 926267169 |
| Phone Number: | 9094833530 |
| Fax Number: | 9093807741 |
| NPI Enumeration Date: | 12/19/2012 |
| NPI Last Update Date: | 12/19/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP3300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Pain |
| Taxonomy Definition: | |