Provider Demographics
NPI:1659864338
Name:ORANGE COUNTY RESPIRATORY PHYSICIANS CORP
Entity Type:Organization
Organization Name:ORANGE COUNTY RESPIRATORY PHYSICIANS CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:ASCIUTO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-681-4545
Mailing Address - Street 1:18111 BROOKHURST ST STE 4600
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-6728
Mailing Address - Country:US
Mailing Address - Phone:714-861-4545
Mailing Address - Fax:714-861-4549
Practice Address - Street 1:18111 BROOKHURST ST STE 4600
Practice Address - Street 2:
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708
Practice Address - Country:US
Practice Address - Phone:714-861-4545
Practice Address - Fax:714-861-4549
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-07
Last Update Date:2018-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty