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40 Paso Robles Irvine CA 92602-1091 | |
| (949) 499-1311 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Hospitalist |
| Location | 40 Paso Robles, Irvine, California |
| Authorized Official Name and Position | Ravi R Chand (OWNER) |
| Authorized Official Contact | 9496795510 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 894231 Los Angeles CA 90189-4231 Ph: () - | 40 Paso Robles Irvine CA 92602-1091 Ph: (949) 499-1311 |
| NPI Number | 1528470085 |
|---|---|
| Provider Enumeration Date | 06/02/2014 |
| Last Update Date | 07/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528470085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 208M00000X | Hospitalist | (* (Not Available)) | Primary |
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