| Irvine Internal Medical Group, Inc. | |
|
22 Odyssey Ste 140 Irvine CA 92618-3193 | |
| (949) 653-5810 | |
| (949) 653-1129 |
| Full Name | Irvine Internal Medical Group, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 22 Odyssey Ste 140, Irvine, California |
| Authorized Official Name and Position | Emad M Mikhail (OWNER) |
| Authorized Official Contact | 9496535810 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Irvine Internal Medical Group, Inc. Po Box 575 Suisun City CA 94585-0575 Ph: (657) 241-3600 | Irvine Internal Medical Group, Inc. 22 Odyssey Ste 140 Irvine CA 92618-3193 Ph: (949) 653-5810 |
| NPI Number | 1952355315 |
|---|---|
| Provider Enumeration Date | 05/20/2006 |
| Last Update Date | 12/18/2023 |
| Medicare PECOS PAC ID | 4587661129 |
|---|---|
| Medicare Enrollment ID | O20061024000643 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952355315 | NPI | - | NPPES |
| DH1588 | Other | CA | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Emad M Mikhail |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376582957 PECOS PAC ID: 6305843947 Enrollment ID: I20061024000648 |
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