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General NPI Number Information
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NPI Number | 1861769069
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Entity Type | Organization
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Legal Business Name | MEDX HEALTH CARE INC
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Dates
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Enumeration Date | 11/17/2011
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 777 CORPORATE DR STE 150
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City | LADERA RANCH
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State | CA
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Zip | 92694-2136
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Country | US
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Telephone | 949-836-8120
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Fax |
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Provider Business Mailing Address
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Address Line | 777 CORPORATE DR STE 150
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City | LADERA RANCH
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State | CA
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Zip | 92694-2136
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Country | US
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Telephone | 949-481-8881
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Fax | 949-481-6666
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHRISTIAN LEE RANK
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Credential | M.D
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Telephone | 949-836-8120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A73486
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | A73486
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License Number State | CA
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