Mark Mccoy, RAS

NPI 1922426030 · on the registry since 2014 · sole proprietor

Practice

Address: 1207 E Fruit St
Santa Ana, CA 92701
Phone: (714) 953-9373
Fax: (714) 953-5775
Organisation at this address: Phoenix House Orange County, Inc
Phoenix House Orange County, Inc.
Phoenix House Orange County, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 248

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-04-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California