Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Corporate Park Wellness Center, Inc

Organization Sports Medicine (Family Medicine) Physician · NPI 1457954224

Corporate Park Wellness Center, Inc provides Sports Medicine (Family Medicine) Physician services in Irvine, California. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

43 Corporate Park Ste 204
Irvine, CA 92606-5137
Phone: (714) 550-0788
Fax: (714) 550-6001
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X

Record details

NPI number1457954224
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeff Fisher — Partner And Share Holder · (714) 550-0788
NPI enumeratedNovember 16, 2020
Last updated in NPPESNovember 16, 2020
Certification dateNovember 16, 2020
Mailing address43 Corporate Park Ste 204, Irvine, CA 92606-5137

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