Healthcare Provider Details

I. General information

NPI: 1568907178
Provider Name (Legal Business Name): ONEHEALTH MEDICAL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2017
Last Update Date: 01/05/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2617 E CHAPMAN AVE STE. 103
ORANGE CA
92869-3226
US

IV. Provider business mailing address

PO BOX 970
PLACENTIA CA
92871-0970
US

V. Phone/Fax

Practice location:
  • Phone: 714-223-7000
  • Fax:
Mailing address:
  • Phone: 714-223-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ALBERT LAI
Title or Position: CEO
Credential: M.D.
Phone: 714-223-7000