Healthcare Provider Details

I. General information

NPI: 1750324554
Provider Name (Legal Business Name): ORANGE COUNTY PHYSICIANS HEARING SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2006
Last Update Date: 10/06/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26726 CROWN VALLEY PKWY #210
MISSION VIEJO CA
92691-6364
US

IV. Provider business mailing address

26726 CROWN VALLEY PKWY #210
MISSION VIEJO CA
92691-6364
US

V. Phone/Fax

Practice location:
  • Phone: 949-364-4361
  • Fax: 949-364-4495
Mailing address:
  • Phone: 949-364-4361
  • Fax: 949-364-4495

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name: DR. JOHN RAYMOND COLEMAN
Title or Position: PRESIDENT
Credential: AUD
Phone: 949-364-4361