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Eric Speare M.D. A Medical Corporation

Psychiatry & Neurology, Psychiatry in Dana Point, CA. Organization (NPI-2).

NPI number1124398151
StatusActive
Last updated in NPPESJan 12, 2012

Details

NPI
1124398151
Entity type
Organization (NPI-2)
Legal business name
Eric Speare M.D. A Medical Corporation
Organization subpart
No
Enumeration date
Jan 6, 2012
Last updated
Jan 12, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084P0800X Psychiatry & Neurology, PsychiatryG36043CAYes

Practice location

33971 Selva Rd
Suite 150
Dana Point, CA 92629-3788

Phone 949-493-6633 · Fax 949-493-0669

Mailing address

33971 Selva Rd
Suite 150
Dana Point, CA 92629-3788

Phone 949-493-6633 · Fax 949-493-0669

Authorized official

Eric Speare
Owner
9494936633

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