| Peter Jungwirth,m.d.,inc | |
|
15 Mareblu Suite 350 Aliso Viejo CA 92656-3015 | |
| (949) 495-4524 | |
| (949) 389-9800 |
| Full Name | Peter Jungwirth,m.d.,inc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 15 Mareblu, Aliso Viejo, California |
| Authorized Official Name and Position | Peter Scott Jungwirth (OWNER) |
| Authorized Official Contact | 9494954524 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peter Jungwirth,m.d.,inc 15 Mareblu Suite 350 Aliso Viejo CA 92656-3015 Ph: (949) 495-4524 | Peter Jungwirth,m.d.,inc 15 Mareblu Suite 350 Aliso Viejo CA 92656-3015 Ph: (949) 495-4524 |
| NPI Number | 1669859526 |
|---|---|
| Provider Enumeration Date | 04/29/2015 |
| Last Update Date | 04/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669859526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | G47721 (California) | Primary |
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