Organization Name: | HEAD AND NECK ASSOCIATES OF ORANGE COUNTY AN INCORPRATE |
NPI Number: | 1427093046 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN S SUPANCE (PRESIDENT) |
Mailing Address: | 26726 Crown Valley Pkwy #200 Mission Viejo |
State: | CA US |
Postal Code: | 926918003 |
Phone Number: | 9493644361 |
Fax Number: | 9493644495 |
NPI Enumeration Date: | 06/18/2006 |
NPI Last Update Date: | 11/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 09/25/2007 |
NPI Reactivation Date: | 02/27/2008 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |