| Uc Irvine Health Specialty Clinic- Tustin (surgery) | |
|
1451 Irvine Blvd Tustin CA 92780-3804 | |
| (714) 838-8408 | |
| (877) 838-0003 |
| Full Name | Uc Irvine Health Specialty Clinic- Tustin (surgery) |
|---|---|
| Speciality | Clinic/center |
| 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 Specialty Clinic- Tustin (surgery) Po Box 512347 Los Angeles CA 90051-0347 Ph: (714) 456-3856 | Uc Irvine Health Specialty Clinic- Tustin (surgery) 1451 Irvine Blvd Tustin CA 92780-3804 Ph: (714) 838-8408 |
| NPI Number | 1366897860 |
|---|---|
| Provider Enumeration Date | 05/03/2016 |
| Last Update Date | 05/03/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366897860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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