| Irvine Medical Group | |
|
16300 Sand Canyon Ave Suite 1009 Irvine CA 92618-3711 | |
| (949) 727-3793 | |
| Not Available |
| Full Name | Irvine Medical Group |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 16300 Sand Canyon Ave, Irvine, California |
| Authorized Official Name and Position | Marshall Grossman (OWNER) |
| Authorized Official Contact | 9497273793 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Irvine Medical Group 16300 Sand Canyon Ave Suite 1009 Irvine CA 92618-3711 Ph: (949) 727-3793 | Irvine Medical Group 16300 Sand Canyon Ave Suite 1009 Irvine CA 92618-3711 Ph: (949) 727-3793 |
| NPI Number | 1891818019 |
|---|---|
| Provider Enumeration Date | 04/10/2007 |
| Last Update Date | 06/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891818019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | G32042 (California) | Primary |
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