| Bay Back Clinical Infusions Pc | |
|
2675 Irvine Ave Ste 116 Costa Mesa CA 92627-6604 | |
| (310) 740-7864 | |
| (949) 449-8325 |
| Full Name | Bay Back Clinical Infusions Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 2675 Irvine Ave Ste 116, Costa Mesa, California |
| Authorized Official Name and Position | John Edward Humiston (FAMILY MEDICINE) |
| Authorized Official Contact | 6195507636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Back Clinical Infusions Pc 3943 Irvine Blvd Ste 628 Irvine CA 92602-2400 Ph: (310) 740-7864 | Bay Back Clinical Infusions Pc 2675 Irvine Ave Ste 116 Costa Mesa CA 92627-6604 Ph: (310) 740-7864 |
| NPI Number | 1538644802 |
|---|---|
| Provider Enumeration Date | 10/02/2018 |
| Last Update Date | 10/02/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538644802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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