PETER JUNGWIRTH,M.D.,INC
Ambulatory Health at Mareblu, Laguna Beach, CA

License number
California G47721
Category
Ambulatory Health
Type
Primary Care
Owner
Name: PETER SCOTT JUNGWIRTH M.D.
Title: OWNER
Phone: (949) 495-4524
Address
Address
15 Mareblu SUITE 350, Laguna Beach, CA 92656
National Provider ID: 1669859526
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Peter Jungwirth, M.D., Inc

15 Mareblu, Laguna Beach, CA 92656

Registration:
Dec 26, 2013
State ID:
03631186
Business type:
Articles of Incorporation
President:
Peter S. Jungwirth (President)
Agent:
Mahyar Ghassemian

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