MEDICARE: SECOND OPINION EXPERT INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	282E00000X	Long Term Care Hospital

General Provider Information

NPI Number	:	1437725686
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SECOND OPINION EXPERT INC

Provider Business Mailing Address
First Line	:	24681 LA PLZ STE 310
Second Line	:
City	:	DANA POINT
State	:	CA
Zip	:	92629-2567
Country	:	US
Telephone Number	:	805-208-2150
Fax Number	:

Provider Business Practice Location Address
First Line	:	24681 LA PLZ STE 310
Second Line	:
City	:	DANA POINT
State	:	CA
Zip	:	92629-2567
Country	:	US
Telephone Number	:	805-208-2150
Fax Number	:

Authorized Official
Title or Position	:	ACCOUNT MANAGER
Name	:	STEVE ADAMS
Credential	:
Telephone Number	:	805-208-2150

Provider Enumeration Date	:	05/28/2021
Last Update Date	:	05/28/2021

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Directions to “SECOND OPINION EXPERT INC ” Practice Location

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