Healthcare Provider Details

I. General information

NPI: 1013231893
Provider Name (Legal Business Name): CALIFORNIA PHYSICIAN CONSULTANTS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2010
Last Update Date: 04/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26730 CROWN VALLEY PKWY SUITE 200
MISSION VIEJO CA
92691-6364
US

IV. Provider business mailing address

DEPT 5043
LOS ANGELES CA
90084-0001
US

V. Phone/Fax

Practice location:
  • Phone: 949-505-2888
  • Fax: 949-364-2110
Mailing address:
  • Phone: 330-470-3700
  • Fax: 330-497-7940

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: E. PAUL REID
Title or Position: PRESIDENT
Credential: MD
Phone: 408-347-4051