Healthcare Provider Details

I. General information

NPI: 1720749732
Provider Name (Legal Business Name): ORTHOCARE HEALTH, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2022
Last Update Date: 03/15/2022
Certification Date: 03/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31920 DEL OBISPO ST STE 170
SAN JUAN CAPISTRANO CA
92675-3193
US

IV. Provider business mailing address

31920 DEL OBISPO ST STE 170
SAN JUAN CAPISTRANO CA
92675-3193
US

V. Phone/Fax

Practice location:
  • Phone: 949-691-3131
  • Fax: 949-940-8311
Mailing address:
  • Phone: 949-691-3131
  • Fax: 949-940-8311

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: KEUN HENG HUO
Title or Position: PHYSICIAN
Credential: MD
Phone: 949-691-3131