| Street | 1100 W Chapman Ave | ||
| City/Town | Orange | ||
| State/Province/Region | California | ||
| Zip/Postal Code | 92868 | ||
| Phone Number | (714) 997-8200 | ||
| Country | United States |
| Full Name | Ned Rice MD | ||
| Gender | male | ||
| Birthday | 1979-12-14 | ||
| Social Security Number | 517-49-0117 |
| Credit card brand | Visa | ||
| Credit card number | 4024007139132095 | ||
| Expire | 2030/11 | ||
| CVV | 071 |