| Uc Irvine Health Medical Group- Tustin, Fam Med | |
|
1451 Irvine Blvd Tustin CA 92780-3804 | |
| (714) 456-7002 | |
| (949) 824-2828 |
| Full Name | Uc Irvine Health Medical Group- Tustin, Fam Med |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1451 Irvine Blvd, Tustin, California |
| Authorized Official Name and Position | Manuel Porto (PRESIDENT) |
| Authorized Official Contact | 7144562986 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Uc Irvine Health Medical Group- Tustin, Fam Med Po Box 513620 Los Angeles CA 90051-3620 Ph: (714) 456-6585 | Uc Irvine Health Medical Group- Tustin, Fam Med 1451 Irvine Blvd Tustin CA 92780-3804 Ph: (714) 456-7002 |
| NPI Number | 1467815241 |
|---|---|
| Provider Enumeration Date | 03/30/2016 |
| Last Update Date | 03/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467815241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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