Healthcare Provider Details

I. General information

NPI: 1811665128
Provider Name (Legal Business Name): OCA MEDICAL GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2021
Last Update Date: 09/01/2021
Certification Date: 08/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4501 BIRCH ST STE 101-A
NEWPORT BEACH CA
92660-1990
US

IV. Provider business mailing address

1231 CABRILLO AVE STE 203
TORRANCE CA
90501-2867
US

V. Phone/Fax

Practice location:
  • Phone: 949-374-5327
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: ADAM WEITZMAN
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 310-543-7779