| Innovi Healthcare Inc. | |
|
11220 Amberdale Dr Tustin CA 92782-4329 | |
| (949) 336-1875 | |
| (844) 946-0854 |
| Full Name | Innovi Healthcare Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 11220 Amberdale Dr, Tustin, California |
| Authorized Official Name and Position | Mariam S Hasan (CEO) |
| Authorized Official Contact | 9493361875 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovi Healthcare Inc. 11220 Amberdale Dr Tustin CA 92782-4329 Ph: (949) 336-1875 | Innovi Healthcare Inc. 11220 Amberdale Dr Tustin CA 92782-4329 Ph: (949) 336-1875 |
| NPI Number | 1275153389 |
|---|---|
| Provider Enumeration Date | 04/18/2020 |
| Last Update Date | 04/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275153389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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