Healthcare Provider Details

I. General information

NPI: 1699539189
Provider Name (Legal Business Name): OC MUSIC SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2024
Last Update Date: 02/06/2024
Certification Date: 02/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3652 MICHELSON DR RM 200
IRVINE CA
92612-1727
US

IV. Provider business mailing address

227 W CANADA APT 3
SAN CLEMENTE CA
92672-5687
US

V. Phone/Fax

Practice location:
  • Phone: 949-624-0164
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State

VIII. Authorized Official

Name: LETICIA CASTILLO ROCHA
Title or Position: OWNER
Credential: MT-BC
Phone: 936-662-9423